Basic Information
| Provider Information | |||||||||
| NPI: | 1518974930 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OSSIAS | ||||||||
| FirstName: | ARTHUR | ||||||||
| MiddleName: | LAWRENCE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1112 PARK AVE | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10128 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2124279333 | ||||||||
| FaxNumber: | 2128316185 | ||||||||
| Practice Location | |||||||||
| Address1: | 1112 PARK AVE | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10128 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2124279333 | ||||||||
| FaxNumber: | 2128316185 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/01/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RH0000X | 101452 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology |
ID Information
| ID | Type | State | Issuer | Description | AA1819222 | 01 | DEA | OTHER |