Organization
BAY WELLNESS PROGRAM PT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VLADISLAV RUDNER (PHYSICAL THERAPIST)
(718) 427-4845
Entity
Organization
Contact information
Practice address
3495 NOSTRAND AVE, MAIMONIDES ROOM, BROOKLYN, NY 11229-5131
(718) 427-4845
Mailing address
2130 85TH ST, SECOND FLOOR, BROOKLYN, NY 11214-3212
(718) 427-4845
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
022504
NY
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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