Basic Information
Provider Information
NPI: 1952300717
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SZPORN
FirstName: ARNOLD
MiddleName: HOWARD
NamePrefix:  
NameSuffix:  
Credential: MD
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Mailing Information
Address1: 1 GUSTAVE L LEVY PL
Address2: PATHOLOGY, BOX 1194
City: NEW YORK
State: NY
PostalCode: 100296500
CountryCode: US
TelephoneNumber: 2122419160
FaxNumber: 2125347491
Practice Location
Address1: 1 GUSTAVE L LEVY PL
Address2: ANNENBERG BUILDING ROOM 15-265
City: NEW YORK
State: NY
PostalCode: 100296500
CountryCode: US
TelephoneNumber: 2122419160
FaxNumber: 2125347491
Other Information
ProviderEnumerationDate: 07/14/2005
LastUpdateDate: 12/28/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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IsSoleProprietor: Y
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207ZC0500X145302NYY Allopathic & Osteopathic PhysiciansPathologyCytopathology
207ZP0101X145302NYN Allopathic & Osteopathic PhysiciansPathologyAnatomic Pathology

No ID Information.


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