Provider Demographics
NPI:1386722759
Name:ARBILO, ELSA ARBOLERAS
Entity type:Individual
Prefix:MISS
First Name:ELSA
Middle Name:ARBOLERAS
Last Name:ARBILO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8840 53RD AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-4531
Mailing Address - Country:US
Mailing Address - Phone:832-228-1716
Mailing Address - Fax:
Practice Address - Street 1:80 BOWERY
Practice Address - Street 2:SUITE402
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-4614
Practice Address - Country:US
Practice Address - Phone:212-226-1211
Practice Address - Fax:212-226-7462
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027192225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist