Organization
ALLURE PHYSICAL THERAPY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YAN YUSUPOV P.T. (PRESIDENT)
(917) 757-6307
Entity
Organization
Contact information
Practice address
1894 EASTCHESTER RD, SUITE 204, BRONX, NY 10461-2328
(917) 708-9181
(917) 708-9182
Mailing address
9735 63RD DR, REGO PARK, NY 11374-2229
(917) 757-6307
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
031272
NY
Other
Enumeration date
06/09/2015
Last updated
06/11/2015
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