Yelena Gremban DPT

NPI 1215216189 - Physical Therapist - 225100000X

NPI Details
NPI 1215216189
Gender Female
Enumeration Date 08/10/2011
Last Updated 06/16/2014
Entity Type Individual
Active Over 5 years ago
Practice Location
164 20TH ST
SUITE 2A
BROOKLYN NY, 11232-1180, US
Phone (347) 529-6465
Fax
Business Location
164 20TH ST
SUITE 2A
BROOKLYN NY, 11232-1180, US
Phone (347) 529-6465
Fax
Toxanomy
Taxonomy Code 225100000X
License State New York
License Number 033986-1
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According to our database, Yelena Gremban DPT NPI is 1215216189, taxonomy code is 225100000X and license number is 033986-1, license state is located at New York. Yelena Gremban DPT physically located at 164 20th St, Brooklyn NY, 11232-1180. NPI Number Yelena Gremban DPT has the Individual type.

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1215216189 NPI number is provided on an as is basis without warranty of any kind. 1215216189 is maintained by the National Plan & Provider Enumeration System. The contents of Yelena Gremban DPT are for informational purposes only.