MAIN PHYSICAL THERAPY PC
Physical Therapy at 5 St, Brooklyn, NY

License number
New York 022064
Category
Restorative Service Providers
Type
Physical Therapist
Owner
Name: LANA GONCHAROVA
Title: MED BILLER
Phone: (718) 775-8717
Address
Address
1701 W 5Th St, Brooklyn, NY 11223
National Provider ID: 1831494483
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MAIN PHYSICAL THERAPY PC

Brooklyn, NY

Registration:
Nov 9, 2010
Addresses:
1701 W 5 St 1 Flr, Brooklyn, NY 11223 (Physical)
1840 W 11 St 2, Brooklyn, NY 11223 (Physical)
State ID:
4017096
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Aleksandr Kharkover, 1840 W 11 St 2, Brooklyn, NY 11223 (Physical)

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