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Organization
GREENSTONE PHYSICAL & MASSAGE THERAPY PLLC
Active
Organization
GREENSTONE PHYSICAL & MASSAGE THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTINA POPA RICKETTS (AUTHORIZED OFFICIAL)
(212) 767-9512
Entity
Organization
Contact information
Practice address
133 WATER ST, BROOKLYN, NY 11201-1056
(718) 875-1514
(718) 722-7195
Mailing address
133 WATER ST, BROOKLYN, NY 11201-1056
(718) 875-1514
(718) 722-7195
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020574
LICENSE
NY
Enumeration date
02/04/2015
Last updated
05/14/2015
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