Provider Demographics
NPI:1447620992
Name:DINAKARAN, ARVIND KUMAR
Entity type:Individual
Prefix:
First Name:ARVIND KUMAR
Middle Name:
Last Name:DINAKARAN
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 1:2041 SEAGIRT BLVD
Mailing Address - Street 2:5E
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-5805
Mailing Address - Country:US
Mailing Address - Phone:214-458-0796
Mailing Address - Fax:
Practice Address - Street 1:275 ROCKAWAY TPKE
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:NY
Practice Address - Zip Code:11559-1272
Practice Address - Country:US
Practice Address - Phone:516-371-2225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-28
Last Update Date:2017-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038841225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist