Organization
PARK SPORTS PHYSICAL THERAPY AND PARK SLOPE OCCUPATIONAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS GILZON PT, CHT (PRESIDENT)
(718) 230-1180
Entity
Organization
Contact information
Practice address
325 GARFIELD PL, BROOKLYN, NY 11215-2351
(718) 230-1180
Mailing address
325 GARFIELD PL, BROOKLYN, NY 11215-2351
(718) 230-1180
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
011045
NY
225XH1200X
Hand Occupational Therapist
Primary
013213
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A804120
OXFORD ID#
NY
01
—
QU9581
EMPIRE BLUE CROSS BLUE SHEILD
NY
Enumeration date
05/27/2008
Last updated
08/06/2008
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