Yelizaveta Buluchevskaya, PT, DPT, CSCS | |
3313 Sheridan St, Hollywood, FL 33021-3606 | |
(754) 202-3457 | |
Not Available |
Full Name | Yelizaveta Buluchevskaya |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 3313 Sheridan St, Hollywood, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275215451 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 40243 (Florida) | Primary |
Provider Name | Aries Pt |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1568010031 PECOS PAC ID: 5395172811 Enrollment ID: O20200224000542 |
Mailing Address | Practice Location Address |
---|---|
Yelizaveta Buluchevskaya, PT, DPT, CSCS 5520 S University Dr Apt 2104, Davie, FL 33328-5354 Ph: (214) 284-4373 | Yelizaveta Buluchevskaya, PT, DPT, CSCS 3313 Sheridan St, Hollywood, FL 33021-3606 Ph: (754) 202-3457 |
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