# MAZAL PHYSICAL THERAPY P.C.

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

## Provider details

- **NPI number:** 1568714384
- **Authorized official:** MS. MAZAL AGAZAROVA DPT (CEO/ PHYSICAL THERAPIST)
- **Authorized official phone:** (718) 908-6630

## Contact information

- **Practice address:** 3003 AVENUE X APT 5F, BROOKLYN, NY 11235-1246
- **Practice address phone:** (718) 908-6630
- **Mailing address:** 3003 AVENUE X APT 5F, BROOKLYN, NY 11235-1246

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 032297-1 | NY | Yes |

## Other

- **Enumeration date:** 10/03/2012
- **Last updated:** 06/12/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 032297-1 | LICENSE\# | NY |