Provider Demographics
NPI:1841522463
Name:ARCELLANA, JEORGE USON (PT)
Entity type:Individual
Prefix:
First Name:JEORGE
Middle Name:USON
Last Name:ARCELLANA
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 1:3507 POST ST
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:NY
Mailing Address - Zip Code:13323-4716
Mailing Address - Country:US
Mailing Address - Phone:315-557-6848
Mailing Address - Fax:315-557-5048
Practice Address - Street 1:3507 POST ST
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:NY
Practice Address - Zip Code:13323-4716
Practice Address - Country:US
Practice Address - Phone:315-557-6848
Practice Address - Fax:315-557-5048
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-06
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028578225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist