Provider Demographics
NPI:1821034810
Name:ARROYAVE, FARID H (MS PT)
Entity Type:Individual
Prefix:MR
First Name:FARID
Middle Name:H
Last Name:ARROYAVE
Suffix:
Gender:M
Credentials:MS PT
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:50 CHESTER RD
Mailing Address - Street 2:
Mailing Address - City:LYNBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11563-3842
Mailing Address - Country:US
Mailing Address - Phone:516-528-6980
Mailing Address - Fax:516-433-4578
Practice Address - Street 1:111 W OLD COUNTRY RD
Practice Address - Street 2:SUITE #001
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-4036
Practice Address - Country:US
Practice Address - Phone:516-433-4570
Practice Address - Fax:516-433-4578
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-20
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY0239981225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ20B11Medicare ID - Type UnspecifiedPROVIDER NUMBER