Individual ProviderArthur LizasoPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address4870 Hylan Blvd, Staten Island, NY 10312-6322(718) 356-1337(718) 227-0198PECOS EnrollmentBased on the most recent information from CMS, provider Arthur Lizaso does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1821297417Provider TypeIndividualFull NameLizaso, ArthurCredentialPHYSICAL THERAPISTGenderMaleSole ProprietorYesEnumeration Date7/13/2007Last Updated4/2/2009Contact InformationPractice LocationPractice Address4870 Hylan Blvd, Staten Island, NY 10312-6322Phone(718) 356-1337Fax(718) 356-1337Mailing LocationMailing Address4870 Hylan Blvd, Staten Island, NY 10312-6322Phone(718) 227-0198FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense011812-1New York