Provider Demographics
NPI:1366075772
Name:ENVOLTORIO ARICAYA, HELAR (PT)
Entity type:Individual
Prefix:
First Name:HELAR
Middle Name:
Last Name:ENVOLTORIO ARICAYA
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:HELAR
Other - Middle Name:
Other - Last Name:ARICAYA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:500 GRAND AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-4968
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:365 ROUTE 304 STE 102
Practice Address - Street 2:
Practice Address - City:NANUET
Practice Address - State:NY
Practice Address - Zip Code:10954-1601
Practice Address - Country:US
Practice Address - Phone:845-624-2182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-14
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY045704225100000X
NJ40QA02229100225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist