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Organization
QUALITY PHYSICAL AND MASSAGE THERAPY PLLC
Active
Organization
QUALITY PHYSICAL AND MASSAGE THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YEVGENIY SAZONOV MT (CEO)
(917) 207-1529
Entity
Organization
Contact information
Practice address
261 E 78TH ST, NEW YORK, NY 10075-1216
(646) 755-8838
(646) 755-8859
Mailing address
PO BOX 587, NEW YORK, NY 10028-0019
(646) 755-8838
(646) 755-8859
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008590
LICENSE NUMBER
NY
Enumeration date
10/03/2014
Last updated
10/03/2014
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