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Organization
GREEN LIGHT PHYSICAL THERAPY PC
Active
Organization
GREEN LIGHT PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STELLA DVORIN DPT (PRESIDENT)
(718) 872-7801
Entity
Organization
Contact information
Practice address
2761 BATH AVE, BAS 1, BROOKLYN, NY 11214-5551
(718) 872-7801
(718) 872-7803
Mailing address
2761 BATH AVE, BAS 1, BROOKLYN, NY 11214-5551
(718) 872-7801
(718) 872-7803
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
032199
NY
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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