Organization
OCEAN PARKWAY PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANATOLY STAROSTA P.T. (OWNER)
(917) 957-8100
Entity
Organization
Contact information
Practice address
3044 CONEY ISLAND AVE, SUITE 1, BROOKLYN, NY 11235-5660
(917) 957-8100
Mailing address
3080 W 1ST ST, UNIT 201, BROOKLYN, NY 11224-3736
(917) 957-8100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
018713
NY
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02193199
—
NY
01
—
1205896040
NPI INDIVIDUAL
NY
Enumeration date
05/16/2016
Last updated
05/16/2016
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