Organization
INNOVATIVE PHYSICAL THERAPEUTICS
Active
Organization
INNOVATIVE PHYSICAL THERAPEUTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KUBA BRYL LAC., LMT (PRESIDENT)
(646) 258-1194
Entity
Organization
Contact information
Practice address
114 E 72ND ST PH B, NEW YORK, NY 10021-4274
(646) 398-7486
(646) 398-7532
Mailing address
2808 35TH ST APT 4G, ASTORIA, NY 11103-4628
(646) 258-1194
(646) 398-7532
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
02/10/2023
Last updated
02/10/2023
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