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Organization
VP PHYSICAL THERAPY PLLC
Active
Organization
VP PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VADIM PLAKSIN PT (PRESIDEINT)
(718) 998-3020
Entity
Organization
Contact information
Practice address
2064 CROPSEY AVE, SUITE 1G, BROOKLYN, NY 11214-6200
(718) 975-8763
(718) 979-0649
Mailing address
82 VULCAN ST, STATEN ISLAND, NY 10305-4221
(718) 998-3020
(718) 998-9059
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
034047
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
034047
LICENSE
NY
Enumeration date
02/22/2016
Last updated
02/22/2016
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