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Organization
GRAND REHAB PT PC
Active
Organization
GRAND REHAB PT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM GAZDZINSKI DPT (PROVIDER)
(646) 863-8353
Entity
Organization
Contact information
Practice address
153 BAY 26TH ST, BROOKLYN, NY 11214-4994
(347) 702-9958
(347) 507-2022
Mailing address
153 BAY 26TH ST, BROOKLYN, NY 11214-4994
(347) 702-9958
(347) 710-7579
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04869994
—
NY
Enumeration date
03/27/2015
Last updated
06/06/2023
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