# EARLY STEPS PT PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417239187
- **Authorized official:** DR. STANISLAV KAMINSKY DPT (PRESIDENT)
- **Authorized official phone:** (718) 809-7999

## Contact information

- **Practice address:** 6735 YELLOWSTONE BLVD, 4S, FOREST HILLS, NY 11375-2669
- **Practice address phone:** (718) 809-7999
- **Mailing address:** 6735 YELLOWSTONE BLVD, 4S, FOREST HILLS, NY 11375-2669

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | 032233 | NY | Yes |

## Other

- **Enumeration date:** 09/19/2011
- **Last updated:** 09/19/2011
