Provider Demographics
NPI:1881099653
Name:ARANA, RENATO (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:
First Name:RENATO
Middle Name:
Last Name:ARANA
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 WALLACE ST
Mailing Address - Street 2:
Mailing Address - City:TUCKAHOE
Mailing Address - State:NY
Mailing Address - Zip Code:10707-3424
Mailing Address - Country:US
Mailing Address - Phone:914-426-2589
Mailing Address - Fax:914-961-8068
Practice Address - Street 1:48 WALLACE ST
Practice Address - Street 2:
Practice Address - City:TUCKAHOE
Practice Address - State:NY
Practice Address - Zip Code:10707-3424
Practice Address - Country:US
Practice Address - Phone:914-426-2589
Practice Address - Fax:914-961-8068
Is Sole Proprietor?:No
Enumeration Date:2014-10-23
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016952-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist