Vadim Plaxine, DPT
Physical Therapist in Brooklyn, NY. Individual provider (NPI-1).
NPI number1013296136
StatusActive
Last updated in NPPESAug 7, 2011
Details
- NPI
- 1013296136
- Entity type
- Individual (NPI-1)
- Name
- Vadim Plaxine
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 7, 2011
- Last updated
- Aug 7, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 034047 | NY | Yes |
Practice location
1580 Dahill RdBrooklyn, NY 11204-3537
Phone 718-375-2505 · Fax 718-375-2472
Mailing address
2850 W 24th St Apt 15dBrooklyn, NY 11224-2353
Phone 718-259-0639 · Fax 718-259-0639
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