Doctor Name: | WESLEY ARCENTALES |
NPI Number: | 1275847485 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 40QA01358000 |
Business Practice Address: | 523 Kinderkamack Road River Edge, NJ - 076612140 |
Business Phone Number: | 2015239207 |
Business Fax Number: | 2015239208 |
Mailing Address: | 2142 Utopia Pkwy, WHITESTONE |
State: | NY |
Postal Code: | 113574142 |
Phone Number: | 7188196800 |
Fax Number: | |
NPI Enumeration Date: | 07/29/2010 |
NPI Last Update Date: | 03/31/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 40QA01358000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |