Individual
DR. ARIEL BOURLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
622 W 168TH ST FL 2, NEW YORK, NY 10032-3720
(212) 305-6354
Mailing address
622 W 168TH ST FL 2, NEW YORK, NY 10032-3720
(212) 305-6354
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
274352
NY
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NY
Other
Enumeration date
03/28/2012
Last updated
04/27/2026
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