Organization
OMEGA PHYSICAL THERAPY,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DMITRY SHESTAKOVSKY DPT (PRESIDENT)
(718) 996-9929
Entity
Organization
Contact information
Practice address
2327 83RD ST STE C, BROOKLYN, NY 11214-2749
(718) 996-9929
(718) 265-1807
Mailing address
2327 83RD ST STE C, BROOKLYN, NY 11214-2749
(718) 996-9929
(718) 265-1807
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
020632
NY
Other
Enumeration date
05/20/2009
Last updated
02/16/2012
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