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Organization
MAZAL PHYSICAL THERAPY P.C.
Active
Organization
MAZAL PHYSICAL THERAPY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAZAL AGAZAROVA DPT (CEO/ PHYSICAL THERAPIST)
(718) 908-6630
Entity
Organization
Contact information
Practice address
3003 AVENUE X APT 5F, BROOKLYN, NY 11235-1246
(718) 908-6630
Mailing address
3003 AVENUE X APT 5F, BROOKLYN, NY 11235-1246
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
032297-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
032297-1
LICENSE#
NY
Enumeration date
10/03/2012
Last updated
06/12/2014
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