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Organization
LEBGUTT OT PC
Active
Organization
LEBGUTT OT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VOLVI NEWMAN (ADMINISTRATOR)
(718) 951-8800
Entity
Organization
Contact information
Practice address
2525 NOSTRAND AVE, SUITE 2L, BROOKLYN, NY 11210-4749
(718) 951-8800
(718) 951-0846
Mailing address
2525 NOSTRAND AVE, SUITE 2L, BROOKLYN, NY 11210-4749
(718) 951-8800
(718) 951-0846
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017172-1
LICENSE#
NY
Enumeration date
07/20/2015
Last updated
07/20/2015
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