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Organization
MAGNA PHYSICAL THERAPY PC
Active
Organization
MAGNA PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEKSANDR LIPEL PT (PT)
(718) 714-0700
Entity
Organization
Contact information
Practice address
1601 GRAVESEND NECK RD, BROOKLYN, NY 11229-4430
(718) 714-0700
(718) 934-3336
Mailing address
3715 MERMAID AVE, BROOKLYN, NY 11224-1218
(718) 714-0700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
023424
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02202940
—
NY
Enumeration date
10/28/2006
Last updated
05/15/2013
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