Individual
SERGEY VOSKRESENSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2571 EAST 17TH STREET, BROOKLYN, NY 11235
(929) 371-2131
Mailing address
1665 EAST 7TH STREET, APT 6B, BROOKLYN, NY 11230
(347) 612-5758
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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