# BRIGHT START PT & PTA PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BD MANUAL REHAB PT PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1053854059
- **Legal business name:** BD MANUAL REHAB PT PC
- **Authorized official:** BORIS DOLUB PHYSICAL THERAPIST (DIRECTOR)
- **Authorized official phone:** (929) 371-2131

## Contact information

- **Practice address:** 301 OCEAN VIEW AVE, BROOKLYN, NY 11235
- **Practice address phone:** (929) 371-2131
- **Mailing address:** 301 OCEAN VIEW AVE, BROOKLYN, NY 11235-6826
- **Mailing address phone:** (929) 371-2131

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |
| 261Q00000X | Clinic/Center | 023288 | NY | — |

## Other

- **Enumeration date:** 11/22/2016
- **Last updated:** 01/23/2017