Healthcare Provider Details

I. General information

NPI: 1609258847
Provider Name (Legal Business Name): ARIEL OSHARENKO PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2015
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 PINEBROOK BLVD
NEW ROCHELLE NY
10804-4302
US

IV. Provider business mailing address

220 PINEBROOK BLVD
NEW ROCHELLE NY
10804-4302
US

V. Phone/Fax

Practice location:
  • Phone: 240-370-3229
  • Fax:
Mailing address:
  • Phone: 240-370-3229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number40QA0160000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: