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Organization
ONE MAGIC TOUCH
Active
Organization
ONE MAGIC TOUCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANATOLI YOSHOVAYEV PT (OWNER)
(917) 977-0096
Entity
Organization
Contact information
Practice address
8502 139TH ST, 3E, BRIARWOOD, NY 11435-2645
(917) 977-0096
Mailing address
8502 139TH ST, 3E, BRIARWOOD, NY 11435-2645
(917) 977-0096
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
029274
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029274
LICENSE NUMBER
NY
Enumeration date
11/04/2008
Last updated
11/04/2008
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