Classical Rehabilitation Physical Therapy Pc | |
501 Brighton Beach Ave Fl 2, Brooklyn, NY 11235-6403 | |
(929) 423-7305 | |
Not Available |
Full Name | Classical Rehabilitation Physical Therapy Pc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 501 Brighton Beach Ave Fl 2, Brooklyn, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225502875 | NPI | - | NPPES |
1922160480 | Other | NY | NPI INDIVIDUAL |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Vladislav Ravitski |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1922160480 PECOS PAC ID: 7911973110 Enrollment ID: I20040909000065 |
Mailing Address | Practice Location Address |
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Classical Rehabilitation Physical Therapy Pc 415 Raritan Ave, Staten Island, NY 10305-2345 Ph: (718) 667-6111 | Classical Rehabilitation Physical Therapy Pc 501 Brighton Beach Ave Fl 2, Brooklyn, NY 11235-6403 Ph: (929) 423-7305 |
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