DEKHTYAREV PHYSICAL THERAPY PC
Residential Treatment Facilities at Quentin Rd, Brooklyn, NY

License number
New York 030526
Category
Residential Treatment Facilities
Type
Residential Treatment Facility, Physical Disabilities
Owner
Name: DR. ALEKSANDR DEKHTYAREV DPT
Title: PRESIDENT
Phone: (917) 538-5175
Address
Address
1811 Quentin Rd, Brooklyn, NY 11229
National Provider ID: 1508099417
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DEKHTYAREV PHYSICAL THERAPY PC

2044 E 18 St APT 2F, Brooklyn, NY 11229

Registration:
Aug 14, 2009
State ID:
3845418
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Dr Aleksandr Dekhtyarev, 2044 E 18 St APT 2F, Brooklyn, NY 11229 (Physical)

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