Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | 009694 | NY |
NPI | 1013313980 |
---|---|
Provider Name | Mr. Lenny Arroyave |
First Address | East Elmhurst, NY 11369-1737 |
Second Address | New Hyde Park, NY 11042-1116 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/11/2014 |
Last Update Date | 05/11/2014 |