Individual
MRS. ANGELA SIMKHAEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3045 BRIGHTON 12TH ST, SUITE 1G, BROOKLYN, NY 11235-5762
(718) 332-3132
(718) 332-3355
Mailing address
3045 BRIGHTON 12TH ST, SUITE 1G, BROOKLYN, NY 11235-5762
(718) 332-3132
(718) 332-3355
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
016693-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01897709
—
NY
01
—
Q3975
EMPIRE BLUECROSS BLUE SHI
NY
Enumeration date
07/01/2006
Last updated
07/08/2007
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