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Organization
FIRST CLASS PHYSICAL THERAPY, P.C.
Active
Organization
FIRST CLASS PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAVEL KHROMCHENKO DPT (PRESIDENT)
(718) 996-1100
Entity
Organization
Contact information
Practice address
3514 MERMAID AVE, SUITE 003, BROOKLYN, NY 11224-1508
(718) 996-1100
(718) 676-9511
Mailing address
11 HEDGEROW LN, MANALAPAN, NJ 07726-7905
(718) 996-1100
(718) 676-9511
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
018570
NY
225100000X
Physical Therapist
Primary
019225
NY
225100000X
Physical Therapist
028641
NY
225100000X
Physical Therapist
030156
NY
225100000X
Physical Therapist
031898
NY
225100000X
Physical Therapist
032340
NY
225100000X
Physical Therapist
032358
NY
225100000X
Physical Therapist
032531
NY
225100000X
Physical Therapist
033556
NY
225100000X
Physical Therapist
035869
NY
225100000X
Physical Therapist
036226
NY
225200000X
Physical Therapy Assistant
005486
NY
225200000X
Physical Therapy Assistant
005550
NY
225200000X
Physical Therapy Assistant
005573
NY
225200000X
Physical Therapy Assistant
008315
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02186065
—
NY
Enumeration date
10/06/2006
Last updated
08/16/2013
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