Basic Information
| Provider Information | |||||||||
| NPI: | 1902121148 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ARCURI | ||||||||
| FirstName: | VANESSA | ||||||||
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| Credential: | P.A. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 160 1ST ST APT 305 | ||||||||
| Address2: | |||||||||
| City: | JERSEY CITY | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 073023089 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3472478717 | ||||||||
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| Practice Location | |||||||||
| Address1: | 34 3RD AVE # 171 | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100035504 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8443842779 | ||||||||
| FaxNumber: | 3039426679 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/31/2010 | ||||||||
| LastUpdateDate: | 05/24/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | 013907 | NY | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
No ID Information.