Organization
GA PHYSICAL THERAPY FOR ALL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GYULNARA AVSHALUMOVA DPT (PT)
(917) 697-2617
Entity
Organization
Contact information
Practice address
38 CORAL CT, STATEN ISLAND, NY 10308-3534
(917) 697-2617
Mailing address
38 CORAL CT, STATEN ISLAND, NY 10308-3534
(917) 697-2617
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/29/2024
Last updated
03/15/2024
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