Organization
BRIGHT START PT & PTA PLLC
Active
Parent organization
BD MANUAL REHAB PT PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BD MANUAL REHAB PT PC
Authorized official
BORIS DOLUB PHYSICAL THERAPIST (DIRECTOR)
(929) 371-2131
Entity
Organization
Contact information
Practice address
301 OCEAN VIEW AVE, BROOKLYN, NY 11235
(929) 371-2131
Mailing address
301 OCEAN VIEW AVE, BROOKLYN, NY 11235-6826
(929) 371-2131
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
261Q00000X
Clinic/Center
023288
NY
Other
Enumeration date
11/22/2016
Last updated
01/23/2017
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