Individual
KAMILYA KAYSAROVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6010 BAY PKWY, BROOKLYN, NY 11204-6079
(718) 282-8962
Mailing address
2733 E 23RD ST APT 1, BROOKLYN, NY 11235-2991
(347) 681-2794
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
013119
NY
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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