# B.G.WAY PT. PC.

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

## Provider details

- **NPI number:** 1639524820
- **Authorized official:** SIANNA A DIMITROVA B.S (PRESIDENT/PHYSICAL THERAPISTS)
- **Authorized official phone:** (718) 531-4784

## Contact information

- **Practice address:** 2022 BERGEN AVE, BROOKLYN, NY 11234
- **Practice address phone:** (718) 531-4784
- **Mailing address:** 2022 BERGEN AVE, BROOKLYN, NY 11234-6218
- **Mailing address phone:** (718) 531-4784

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 014795 | NY | Yes |

## Other

- **Enumeration date:** 04/26/2016
- **Last updated:** 04/26/2016