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Organization
PRIME FITNESS PHYSICAL THERAPY PC
Active
Organization
PRIME FITNESS PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELENA VAYNSHTOK DPT (PHYSICAL THERAPY)
(718) 676-4112
Entity
Organization
Contact information
Practice address
2952 BRIGHTON 3RD ST STE 202, BROOKLYN, NY 11235-7078
(718) 676-4112
(718) 676-4134
Mailing address
2952 BRIGHTON 3RD ST STE 202, BROOKLYN, NY 11235-7078
(718) 676-4112
(718) 676-4134
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
023330-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02936914
—
NY
Enumeration date
11/21/2007
Last updated
03/27/2023
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