Organization
MOVING FORWARD PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VITALY DVOSKIN PT, DPT (PROVIDER)
(917) 604-8612
Entity
Organization
Contact information
Practice address
605 MADISON AVE, 4TH FLOOR/JFGYMNASTIQUE, NEW YORK, NY 10022-1900
(917) 604-8612
(888) 705-2297
Mailing address
116 E 60TH ST, SUITE 5B, NEW YORK, NY 10022-1107
(917) 604-8612
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
030873
NY
2251X0800X
Orthopedic Physical Therapist
36260
CA
2251X0800X
Orthopedic Physical Therapist
40QA01328300
NJ
Other
Enumeration date
09/11/2013
Last updated
11/01/2013
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