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Organization
YELLOWSTONE PHYSICAL THERAPY PC
Active
Organization
YELLOWSTONE PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAVRIL MALAKOV PT (PHYSICAL THERAPIST)
(718) 846-2300
Entity
Organization
Contact information
Practice address
8811 JAMAICA AVE, WOODHAVEN, NY 11421-2039
(718) 846-2300
(718) 846-2333
Mailing address
8811 JAMAICA AVE, WOODHAVEN, NY 11421-2039
(718) 846-2300
(718) 846-2333
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02006875
—
NY
Enumeration date
08/30/2006
Last updated
01/29/2013
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