Organization
HOME SIDE WELLNESS PT OT MASSAGE THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YISROEL BRODY DPT (MANAGING MEMBER)
(718) 377-5000
Entity
Organization
Contact information
Practice address
3846 FLATLANDS AVE, BROOKLYN, NY 11234-3525
(718) 377-5000
(718) 377-5002
Mailing address
3846 FLATLANDS AVE, BROOKLYN, NY 11234-3525
(718) 377-5000
(718) 377-5002
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225700000X
Massage Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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