Organization
SUDARA PT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PEREZ- HERRANZ P.T. (P.T.)
(718) 236-7707
Entity
Organization
Contact information
Practice address
5327 18TH AVE, BROOKLYN, NY 11204-1523
(718) 236-7707
(718) 236-3300
Mailing address
5327 18TH AVE, BROOKLYN, NY 11204-1523
(718) 236-7707
(718) 236-3300
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
030017-1
NY
Other
Enumeration date
02/15/2011
Last updated
02/15/2011
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