Individual
TETYANA GORODETSKAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 NEWKIRK AVE, BROOKLYN, NY 11226-6599
(718) 710-3010
Mailing address
305 OCEAN PKWY APT 4B, BROOKLYN, NY 11218-4138
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
008817
NY
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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