NPI 1508099417

Dekhtyarev Physical Therapy PC

Organisation Physical Disabilities Residential Treatment Facility Brooklyn, NY

Practice location

Address: 1811 Quentin Rd, Brooklyn, NY 11229-1343
Phone: (917) 538-5175
Mailing address: 2044 E 18th St APT 2f, Brooklyn, NY 11229-3836

Authorised official

Name: Aleksandr Dekhtyarev
Title: President
Phone: (917) 538-5175

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 030526 (NY)

Other Residential Treatment Facility, Physical Disabilities providers in New York →

Registry record

NPI: 1508099417
Entity type: Organization
NPI issued: 26 Aug 2009
Record last updated: 26 Aug 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.