Organization
VITAL REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE ISRAILOV PT, DPT (PHYSICAL THERAPIST)
(646) 872-8288
Entity
Organization
Contact information
Practice address
3165 NOSTRAND AVE APT 4E, BROOKLYN, NY 11229-3243
(646) 872-8288
Mailing address
3165 NOSTRAND AVE APT 4E, BROOKLYN, NY 11229-3243
(646) 872-8288
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
05/14/2020
Last updated
06/10/2020
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