Provider Demographics
NPI:1750141974
Name:ARNSTEIN, JAKE ALEXANDER (DPT)
Entity type:Individual
Prefix:
First Name:JAKE
Middle Name:ALEXANDER
Last Name:ARNSTEIN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:856 GREENE AVE APT 4R
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11221-5927
Mailing Address - Country:US
Mailing Address - Phone:510-584-6217
Mailing Address - Fax:
Practice Address - Street 1:1000 GATES AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11221-6295
Practice Address - Country:US
Practice Address - Phone:718-239-1850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY052046225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist