Healthcare Provider Details

I. General information

NPI: 1649016502
Provider Name (Legal Business Name): FYSIOPLUSONDEMAND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2024
Last Update Date: 07/01/2024
Certification Date: 07/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 FACTORY ST
WARWICK NY
10990-1444
US

IV. Provider business mailing address

39 FACTORY ST
WARWICK NY
10990-1444
US

V. Phone/Fax

Practice location:
  • Phone: 845-390-1625
  • Fax:
Mailing address:
  • Phone: 845-390-1625
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MANUEL ARRUFFAT
Title or Position: OWNER
Credential: PT
Phone: 845-390-1625