Organization
BD MANUAL REHAB PT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BORIS DOLUB DPT (CEO)
(929) 371-2131
Entity
Organization
Contact information
Practice address
301 OCEAN VIEW AVE, BROOKLYN, NY 11235-6826
(929) 371-2131
Mailing address
301 OCEAN VIEW AVE, BROOKLYN, NY 11235-6826
(929) 371-2131
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/16/2016
Last updated
09/16/2016
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