Provider Demographics
NPI:1114299708
Name:ARANETA, SHINETTE MAY B (PT)
Entity Type:Individual
Prefix:
First Name:SHINETTE MAY
Middle Name:B
Last Name:ARANETA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7513 61ST ST
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11385-6123
Mailing Address - Country:US
Mailing Address - Phone:917-500-6946
Mailing Address - Fax:
Practice Address - Street 1:7513 61ST ST
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:NY
Practice Address - Zip Code:11385-6123
Practice Address - Country:US
Practice Address - Phone:917-500-6946
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-30
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030879225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist