Organization
YEKATERINA SHUBOVA PT
Active
Other names
yekaterina shubova PT
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YEKATERINA SHUBOVA PT (OWNER)
(917) 435-7182
Entity
Organization
Contact information
Practice address
227 MULBERRY ST BSMT, NEW YORK, NY 10012-4126
(917) 435-7182
Mailing address
139 HULL AVE, STATEN ISLAND, NY 10306-3501
(917) 435-7182
(866) 282-1162
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184168544
CIGNA, AETNA, BCBS, UNITED HEALTH, OXFORD
NY
01
—
1568836302
CIGNA, AETNA, BCBS, OXFORD, UNITED HEALTH
—
01
—
1568966570
CIGNA
NY
01
—
1568966570
CIGNA, AETNA, BCBS, UNITED HEALTH, OXFORD
—
Enumeration date
11/06/2019
Last updated
11/06/2019
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