Individual
YISROEL MEIR PUPKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2307 AVENUE O, BROOKLYN, NY 11210-5132
(718) 496-7795
Mailing address
2307 AVENUE O, BROOKLYN, NY 11210-5132
(718) 496-7795
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
059980
NY
2251N0400X
Neurology Physical Therapist
059980
NY
2251P0200X
Pediatric Physical Therapist
059980
NY
2251X0800X
Orthopedic Physical Therapist
059980
NY
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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