Individual
MS. TAMARA PUGACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
177 BAY 23RD STREET 1A, BROOKLYN, NY 11214
(646) 820-5711
Mailing address
177 BAY 23RD STREET 1A, BROOKLYN, NY 11214
(646) 820-5711
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
023775
NY
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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