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Organization
PARKSPORTS PHYSICAL THERAPY, PLLC
Active
Organization
PARKSPORTS PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS GILZON PT (PRESIDENT)
(718) 230-1180
Entity
Organization
Contact information
Practice address
670 6TH AVE, BROOKLYN, NY 11215
(718) 230-1180
Mailing address
142 PROSPECT PARK W APT 1, BROOKLYN, NY 11215-4507
(718) 230-1180
(718) 230-1199
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
00145
NY
225100000X
Physical Therapist
Primary
011045
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02447556
—
NY
Enumeration date
03/13/2007
Last updated
06/11/2018
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