Healthcare Provider Details

I. General information

NPI: 1366884736
Provider Name (Legal Business Name): DON RYAN ALLAN ARGUELLES PTA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2013
Last Update Date: 07/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 BEACON HILL DR APT 7G
DOBBS FERRY NY
10522-2404
US

IV. Provider business mailing address

200 BEACON HILL DR APT 7G
DOBBS FERRY NY
10522-2404
US

V. Phone/Fax

Practice location:
  • Phone: 863-558-9571
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number008028-1
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: