Organization
ADVANCE PLUS PHYSICAL THERAPY SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS KHOTYLEV P.T. (PRESIDENT)
(718) 427-0362
Entity
Organization
Contact information
Practice address
1806 VOORHIES AVE APT 3B, BROOKLYN, NY 11235-3620
(718) 427-0362
Mailing address
1806 VOORHIES AVE APT 3B, BROOKLYN, NY 11235-3620
(718) 427-0362
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
027268-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03282919
—
NY
Enumeration date
07/07/2011
Last updated
07/07/2011
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