Provider Demographics
NPI:1558395707
Name:ARBIZU, RAFAEL ERNEST (MS, PT)
Entity Type:Individual
Prefix:
First Name:RAFAEL
Middle Name:ERNEST
Last Name:ARBIZU
Suffix:
Gender:M
Credentials:MS, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:560 BROADHOLLOW RD STE 304
Mailing Address - Street 2:
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-3702
Mailing Address - Country:US
Mailing Address - Phone:516-222-2010
Mailing Address - Fax:516-222-2011
Practice Address - Street 1:560 BROADHOLLOW RD STE 304
Practice Address - Street 2:
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-3702
Practice Address - Country:US
Practice Address - Phone:516-222-2010
Practice Address - Fax:516-222-2011
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015468-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP2085089OtherOXFORD
NYP00260667Medicare ID - Type UnspecifiedRAILROAD MEDICARE
NYP2085089OtherOXFORD
NYP00243511Medicare ID - Type UnspecifiedRAILROAD MEDICARE
NYQA6261Medicare ID - Type UnspecifiedEMPIRE MEDICARE