# NEW FORM PHYSICAL THERAPY P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053078170
- **Authorized official:** DR. RINKU KURIL DPT, ECS, RMSK (OWNER, CEO)
- **Authorized official phone:** (917) 282-0238

## Contact information

- **Practice address:** 1711 RALPH AVE, BROOKLYN, NY 11236-3319
- **Practice address phone:** (718) 649-6356
- **Mailing address:** 14004 ROCKINGHAM RD, GERMANTOWN, MD 20874-2250

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251E1300X | Clinical Electrophysiology Physical Therapist | — | NULL | Yes |
| 2251E1300X | Clinical Electrophysiology Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 11/23/2021
- **Last updated:** 05/15/2025