Individual
SHAYAN SHAWN LEBASTCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
203 BERRY ST, BROOKLYN, NY 11249-3114
(646) 875-8348
Mailing address
155 BEDFORD AVE FL 4, BROOKLYN, NY 11211-2024
(858) 336-6984
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
048903-01
NY
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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