| |
2133 Ralph Ave, Brooklyn, NY 11234-5405 | |
(718) 451-1400 | |
(718) 451-2797 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 2133 Ralph Ave, Brooklyn, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528138476 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 0094691 (New York) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | 0138081 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
1655 Richmond Avenue, Suite B102, Staten Island, NY 10314 Ph: (718) 370-3500 | 2133 Ralph Ave, Brooklyn, NY 11234-5405 Ph: (718) 451-1400 |