Provider Demographics
NPI:1750138954
Name:ZOLOTAREVSKY, ARTHUR DAVID (PT, PHDC)
Entity type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:DAVID
Last Name:ZOLOTAREVSKY
Suffix:
Gender:M
Credentials:PT, PHDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 CHESTER CT
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11225-5663
Mailing Address - Country:US
Mailing Address - Phone:917-287-4447
Mailing Address - Fax:
Practice Address - Street 1:40 E 23RD ST FL 3
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-4400
Practice Address - Country:US
Practice Address - Phone:877-806-3323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-04
Last Update Date:2024-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016772-01261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy