Individual
DMITRY SHESTAKOVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2327 83RD ST STE C, BROOKLYN, NY 11214-2749
(718) 996-9929
(718) 265-1807
Mailing address
444 NEPTUNE AVE APT 10M, BROOKLYN, NY 11224-4421
(718) 996-9493
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
020632-1
NY
Other
Enumeration date
01/10/2007
Last updated
12/14/2011
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