Provider Demographics
NPI:1336508456
Name:ARQUIZA, RIZALEAH
Entity Type:Individual
Prefix:
First Name:RIZALEAH
Middle Name:
Last Name:ARQUIZA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 ADIRONDACK DR
Mailing Address - Street 2:
Mailing Address - City:SELDEN
Mailing Address - State:NY
Mailing Address - Zip Code:11784-3236
Mailing Address - Country:US
Mailing Address - Phone:631-428-2503
Mailing Address - Fax:
Practice Address - Street 1:67 ADIRONDACK DR
Practice Address - Street 2:
Practice Address - City:SELDEN
Practice Address - State:NY
Practice Address - Zip Code:11784-3236
Practice Address - Country:US
Practice Address - Phone:631-428-2503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-17
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY309882-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse