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Organization
NRN PHYSICAL THERAPY PC
Active
Organization
NRN PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NENA NERON (OWNER)
(929) 329-6584
Entity
Organization
Contact information
Practice address
3041 AVENUE U, BROOKLYN, NY 11229-5126
(929) 329-6584
Mailing address
3041 AVENUE U, BROOKLYN, NY 11229-5126
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
039823
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039823
STATE LICENSE
NY
Enumeration date
09/28/2017
Last updated
10/24/2017
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