Organization
EASTERN PT CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AARON ROTH DPT (DIRECTOR)
(718) 336-0212
Entity
Organization
Contact information
Practice address
1498 E 4TH ST, APT 2R, BROOKLYN, NY 11230-6333
(718) 336-0212
(718) 336-0212
Mailing address
1498 E 4TH ST, APT 2R, BROOKLYN, NY 11230-6333
(718) 336-0212
(718) 336-0212
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
0334841
NY
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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