Healthcare Provider Details

I. General information

NPI: 1952518102
Provider Name (Legal Business Name): PATRICIA ARZIC RPT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

391 E 149TH ST RM 201
BRONX NY
10455-3907
US

IV. Provider business mailing address

391 E 149TH ST RM 201
BRONX NY
10455-3907
US

V. Phone/Fax

Practice location:
  • Phone: 718-401-6888
  • Fax: 718-401-8400
Mailing address:
  • Phone: 718-401-6888
  • Fax: 718-401-8400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number015377-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number015377-1
License Number StateNY

VIII. Authorized Official

Name: PATRICIA ARZIC
Title or Position: PRESIDENT
Credential: RPT
Phone: 718-505-0707