Individual
RUSLANA MAMAYEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2075 E 68TH ST, BROOKLYN, NY 11234-6009
(718) 968-7866
(718) 968-7918
Mailing address
2964 BRIGHTON 12TH ST, F2, BROOKLYN, NY 11235-4750
(646) 662-2264
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
025557
NY
Other
Enumeration date
05/19/2009
Last updated
05/19/2009
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