Michael Baranov Physical Therapy Pc | |
4119 18th Ave, Brooklyn, NY 11218-5709 | |
(718) 975-3515 | |
(718) 975-3514 |
Full Name | Michael Baranov Physical Therapy Pc |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 4119 18th Ave, 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 |
---|---|---|---|
1467496679 | NPI | - | NPPES |
A100123733 | Other | NY | MEDICARE |
03356723 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Michael Baranov |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1710934765 PECOS PAC ID: 4880666775 Enrollment ID: I20040811000354 |
Provider Name | Margarita D Muguruza |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1427140714 PECOS PAC ID: 4880690122 Enrollment ID: I20061010000684 |
Mailing Address | Practice Location Address |
---|---|
Michael Baranov Physical Therapy Pc 15611 Aguilar Ave # 1018, Flushing, NY 11367-2732 Ph: (718) 975-3515 | Michael Baranov Physical Therapy Pc 4119 18th Ave, Brooklyn, NY 11218-5709 Ph: (718) 975-3515 |
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