Healthcare Provider Details

I. General information

NPI: 1366375552
Provider Name (Legal Business Name): PATRICK JAS CIMAFRANCA ARELLANO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 MAMARONECK AVE STE 104
HARRISON NY
10528-1612
US

IV. Provider business mailing address

550 MAMARONECK AVE STE 104
HARRISON NY
10528-1612
US

V. Phone/Fax

Practice location:
  • Phone: 914-777-3737
  • Fax:
Mailing address:
  • Phone: 914-777-3737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number015326
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: