Organization
BRICK-RUN SPORTS PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GURJEET CHADHA DPT (OWNER)
(212) 665-5070
Entity
Organization
Contact information
Practice address
730 COLUMBUS AVE, NEW YORK, NY 10025-6658
(212) 665-5070
(212) 665-5077
Mailing address
730 COLUMBUS AVE, NEW YORK, NY 10025-6658
(212) 665-5070
(212) 665-5077
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
022056
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
QN5751
BCBS
NY
Enumeration date
08/29/2010
Last updated
11/30/2010
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