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Organization
VIBRANT PHYSICAL THERAPY REHABILITATION PC
Active
Organization
VIBRANT PHYSICAL THERAPY REHABILITATION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS IRINA SHAMMAY DPT (ADMINISTRATOR)
(201) 844-1992
Entity
Organization
Contact information
Practice address
321 AVENUE P FL 1, BROOKLYN, NY 11204-4135
(201) 844-1992
(347) 713-4525
Mailing address
321 AVENUE P FL 1, BROOKLYN, NY 11204-4135
(201) 844-1992
(347) 713-4525
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02204
NY
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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