Organization
B.G.WAY PT. PC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIANNA A DIMITROVA B.S (PRESIDENT/PHYSICAL THERAPISTS)
(718) 531-4784
Entity
Organization
Contact information
Practice address
2022 BERGEN AVE, BROOKLYN, NY 11234
(718) 531-4784
Mailing address
2022 BERGEN AVE, BROOKLYN, NY 11234-6218
(718) 531-4784
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
014795
NY
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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