Individual
YURIY BABADZHANOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2919 AVENUE S, BROOKLYN, NY 11229-2544
(347) 517-7654
Mailing address
74 SYLVAN PL, VALLEY STREAM, NY 11581-1311
(347) 517-7654
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
040334-1
NY
Other
Enumeration date
01/03/2017
Last updated
03/30/2021
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