Provider Demographics
NPI:1386378826
Name:ARANAS, JOSE MARI
Entity type:Individual
Prefix:
First Name:JOSE MARI
Middle Name:
Last Name:ARANAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 E 21ST ST STE 1
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-6433
Mailing Address - Country:US
Mailing Address - Phone:212-387-8512
Mailing Address - Fax:212-473-3709
Practice Address - Street 1:229 E 21ST ST STE 1
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-6433
Practice Address - Country:US
Practice Address - Phone:212-387-8512
Practice Address - Fax:212-473-3709
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-11
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047312-01225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist