Organization
GROWTH WITH PHYSICAL THERAPY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YISROEL PUPKO P.T. (SOLE PROPRIETOR)
(718) 496-7795
Entity
Organization
Contact information
Practice address
2307 AVENUE O, BROOKLYN, NY 11210-5132
(718) 496-7795
Mailing address
2307 AVENUE O, BROOKLYN, NY 11210-5132
(718) 496-7795
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
029980
NY
Other
Enumeration date
07/08/2009
Last updated
07/08/2009
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