Basic Information
| Provider Information | |||||||||
| NPI: | 1740268820 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BLINDERMAN | ||||||||
| FirstName: | ARNELLE | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 165 N VILLAGE AVE | ||||||||
| Address2: | SUITE 204 | ||||||||
| City: | ROCKVILLE CENTRE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 115703761 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5167645380 | ||||||||
| FaxNumber: | 5167641915 | ||||||||
| Practice Location | |||||||||
| Address1: | 165 N VILLAGE AVE | ||||||||
| Address2: | SUITE 204 | ||||||||
| City: | ROCKVILLE CENTRE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 115703761 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5167645380 | ||||||||
| FaxNumber: | 5167641915 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/09/2006 | ||||||||
| LastUpdateDate: | 02/26/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/26/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 143949 | NY | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.