Individual
ANNIE J BEHEREC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
138 STATE ST, BROOKLYN, NY 11201-5520
(718) 522-5587
Mailing address
138 STATE ST, BROOKLYN, NY 11201-5520
(718) 522-5587
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
020902-1
NY
Other
Enumeration date
10/29/2009
Last updated
10/29/2009
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