Healthcare Provider Details

I. General information

NPI: 1205752656
Provider Name (Legal Business Name): ELIZ LYKA ARANETA HUILAR PHYSICAL THERAPIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2521 49TH ST
LONG ISLAND CITY NY
11103-1120
US

IV. Provider business mailing address

2521 49TH ST
LONG ISLAND CITY NY
11103-1120
US

V. Phone/Fax

Practice location:
  • Phone: 347-829-3890
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number052300
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: