Provider Demographics
NPI:1245270305
Name:ARROYO, CARLOS (PT)
Entity type:Individual
Prefix:MR
First Name:CARLOS
Middle Name:
Last Name:ARROYO
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3052 85TH ST
Mailing Address - Street 2:
Mailing Address - City:EAST ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11370-1927
Mailing Address - Country:US
Mailing Address - Phone:917-482-8390
Mailing Address - Fax:
Practice Address - Street 1:346 E 49TH ST
Practice Address - Street 2:2C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-1642
Practice Address - Country:US
Practice Address - Phone:347-735-6468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024673225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2432794OtherUNITED HEALTHCARE
NY2432794OtherUNITED HEALTHCARE