Organization
ST. PAVLY PT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKHAIL SALIB (PRESIDENT)
(347) 587-6410
Entity
Organization
Contact information
Practice address
2955 BRIGHTON 4TH ST, BROOKLYN, NY 11235-8533
(347) 587-6410
Mailing address
8800 20TH AVE, APT. 3M, BROOKLYN, NY 11214-4849
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
028129
NY
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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