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Organization
NEW STANDARDS PHYSICAL THERAPY, PC
Active
Organization
NEW STANDARDS PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS PUGACHEVSKY SR. PT (PHYSICAL THERAPIST)
(917) 604-5403
Entity
Organization
Contact information
Practice address
1 BAY CLUB DR, APT. 14-O, BAYSIDE, NY 11360-2955
(917) 604-5403
Mailing address
1 BAY CLUB DR, APT. 14-O, BAYSIDE, NY 11360-2955
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
022292
NY
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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