Individual
PETER RYBAKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-4000
Mailing address
8385 116TH ST, RICHMOND HILL, NY 11418-3471
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
NY
Other
Enumeration date
02/19/2018
Last updated
08/26/2019
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