Individual
BRIAN SHEYDVASSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT,DPT
Contact information
Practice address
12073 FLATLANDS AVE, BROOKLYN, NY 11207-8306
(718) 642-1100
(718) 642-9359
Mailing address
900 ROUTE 9 N FL 4, WOODBRIDGE, NJ 07095-1025
(201) 807-7141
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
043768
NJ
225100000X
Physical Therapist
Primary
043768
NY
Other
Enumeration date
11/16/2018
Last updated
02/02/2023
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