Gravesend Medical Services,p.C.
Clinic/Center, Physical Therapy in Brooklyn, NY. Organization (NPI-2).
NPI number1427190800
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1427190800
- Entity type
- Organization (NPI-2)
- Legal business name
- Gravesend Medical Services,p.C.
- Organization subpart
- No
- Enumeration date
- Feb 13, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | 1974471 | NY | Yes |
Practice location
825 Avenue WBrooklyn, NY 11223-5558
Phone 718-336-1810 · Fax 718-627-9338
Mailing address
825 Avenue WBrooklyn, NY 11223-5558
Phone 718-336-1810 · Fax 718-627-9338
Authorized official
Yelena Ilina
President
7183361810
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