Provider Demographics
NPI:1528084514
Name:SAFALOW, ARTHUR NORMAN (PT, CPED)
Entity type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:NORMAN
Last Name:SAFALOW
Suffix:
Gender:M
Credentials:PT, CPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 WILLIS AVE
Mailing Address - Street 2:STE 100
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501
Mailing Address - Country:US
Mailing Address - Phone:516-741-9600
Mailing Address - Fax:516-741-8051
Practice Address - Street 1:137 WILLIS AVE
Practice Address - Street 2:STE 100
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501
Practice Address - Country:US
Practice Address - Phone:516-741-9600
Practice Address - Fax:516-741-8051
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003046225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
125115OtherAETNA
ANC1008OtherOXFORD
125115OtherAETNA
ANC1008OtherOXFORD