Provider Demographics
NPI:1417287756
Name:BIKLES, AILEEN (DPT, PT)
Entity Type:Individual
Prefix:MRS
First Name:AILEEN
Middle Name:
Last Name:BIKLES
Suffix:
Gender:F
Credentials:DPT, PT
Other - Prefix:
Other - First Name:AILEEN
Other - Middle Name:RECUENCO
Other - Last Name:VIROLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:520 FRANKLIN AVE STE L9
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-5813
Mailing Address - Country:US
Mailing Address - Phone:516-280-6600
Mailing Address - Fax:616-280-6604
Practice Address - Street 1:LIBERTY REHABILITATION & WELLNESS
Practice Address - Street 2:520 FRANKLIN AVE STE L9
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-5813
Practice Address - Country:US
Practice Address - Phone:516-280-6600
Practice Address - Fax:516-280-6604
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-08
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0280111225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist