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Organization
IBS DIAGNOSTICS & PHYSICAL THERAPY PC
Active
Organization
IBS DIAGNOSTICS & PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RENATA KULISHOVA (OFFICE MANAGER)
(718) 627-3939
Entity
Organization
Contact information
Practice address
1833 E 13TH ST, #CA, BROOKLYN, NY 11229-2894
(718) 627-3939
(718) 627-8737
Mailing address
1833 E 13TH ST, #CA, BROOKLYN, NY 11229-2894
(718) 627-3939
(718) 627-8737
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
017736
NY
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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