Whitewater Physical Therapy Pllc | |
1723 Elm Ave, Brooklyn, NY 11230-5306 | |
(718) 332-9592 | |
Not Available |
Full Name | Whitewater Physical Therapy Pllc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 1723 Elm 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 |
---|---|---|---|
1518629955 | NPI | - | NPPES |
035970 | Other | NY | LISCENCE |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Brian Popovsky |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1356786180 PECOS PAC ID: 9830418516 Enrollment ID: I20150430001340 |
Mailing Address | Practice Location Address |
---|---|
Whitewater Physical Therapy Pllc 135 Exeter St, Brooklyn, NY 11235-3723 Ph: (718) 382-7755 | Whitewater Physical Therapy Pllc 1723 Elm Ave, Brooklyn, NY 11230-5306 Ph: (718) 332-9592 |
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