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Dr. Stanislav Kupchenko, DPT

Physical Therapist in New York, NY. Individual provider (NPI-1).

NPI number1508335258
StatusActive
Last updated in NPPESNov 23, 2018

Details

NPI
1508335258
Entity type
Individual (NPI-1)
Name
Dr. Stanislav Kupchenko
Credential
DPT
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 23, 2018
Last updated
Nov 23, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist043755-1NYYes

Practice location

214 W 29th St Rm 901
New York, NY 10001-5757

Phone 917-338-6268

Mailing address

1815 215th St Apt 7p
Bayside, NY 11360-2138

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