Individual
CARLOS AREVALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4045 78TH ST, ELMHURST, NY 11373-1152
(718) 446-2626
Mailing address
4045 78TH ST, ELMHURST, NY 11373-1152
(718) 446-2626
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
141330
NY
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
141330
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00461367
—
NY
Enumeration date
02/22/2006
Last updated
09/30/2012
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