Arevalo, Carlos

Arevalo, Carlos is an sole proprietor health care provider with primary practice located at 4045 78Th St , Elmhurst NY 11373-1152. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Arevalo, Carlos can be contacted via phone (718) 446-2626.

Contact Information

Primary practice address
4045 78Th St Elmhurst NY 11373-1152
Phone: (718) 446-2626
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 141330 New York
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 141330 New York

Profile Details

NPI number 1063487908
LBN Legal business name Arevalo, Carlos
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2006
Last updated Sep 30th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063487908 NPPES
New York MEDICAID 00461367

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