Provider Demographics
NPI:1871764183
Name:ARISTORENAS, JENNIE BATOLINA (PT)
Entity type:Individual
Prefix:MRS
First Name:JENNIE
Middle Name:BATOLINA
Last Name:ARISTORENAS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:26 E PARKWAY
Mailing Address - Street 2:APT 11
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-4153
Mailing Address - Country:US
Mailing Address - Phone:914-433-1831
Mailing Address - Fax:
Practice Address - Street 1:650 HOLLYWOOD AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10465-2352
Practice Address - Country:US
Practice Address - Phone:718-822-0408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-13
Last Update Date:2012-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022743-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist