MEDICARE: HUGO ARENAS PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	028202-1	NY

General Provider Information

NPI Number	:	1366534141
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HUGO ARENAS PT, DPT

Provider Business Mailing Address
First Line	:	973 JULIUS CT
Second Line	:
City	:	NORTH MERRICK
State	:	NY
Zip	:	11566-1013
Country	:	US
Telephone Number	:	516-539-6369
Fax Number	:

Provider Business Practice Location Address
First Line	:	973 JULIUS CT
Second Line	:
City	:	NORTH MERRICK
State	:	NY
Zip	:	11566-1013
Country	:	US
Telephone Number	:	516-539-6369
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2006
Last Update Date	:	01/06/2014

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