Provider Demographics
NPI:1538499371
Name:AREF, HODA (PT, MHS)
Entity Type:Individual
Prefix:MRS
First Name:HODA
Middle Name:
Last Name:AREF
Suffix:
Gender:F
Credentials:PT, MHS
Other - Prefix:
Other - First Name:DBA PHYSICAL THERAPY
Other - Middle Name:
Other - Last Name:UNLIMITED
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:684 OCEAN TER
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10301-4538
Mailing Address - Country:US
Mailing Address - Phone:646-302-4406
Mailing Address - Fax:800-722-4260
Practice Address - Street 1:684 OCEAN TER
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10301-4538
Practice Address - Country:US
Practice Address - Phone:646-302-4406
Practice Address - Fax:800-722-4260
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-29
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017097-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist