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Organization
IDA MEDICAL PLAZA PC
Active
Organization
IDA MEDICAL PLAZA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANA KLURFELD (OFFICE MANAGER)
(718) 853-8503
Entity
Organization
Contact information
Practice address
1379 54TH ST, BROOKLYN, NY 11219-4259
(718) 853-8503
(718) 853-8498
Mailing address
1379 54TH ST, BROOKLYN, NY 11219-4259
(718) 853-8503
(718) 853-8498
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/22/2006
Last updated
03/05/2013
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