Ideal Health Pt Pc

NPI 1154650026 - Physical Therapist - 225100000X

NPI Details
NPI 1154650026
Enumeration Date 12/23/2009
Last Updated 12/23/2009
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name EDUARD EDUARD
Position OWNER
Phone (718) 645-2900
Fax
Practice Location
2263 E 15TH ST
BROOKLYN NY, 11229-4316, US
Phone (718) 645-2900
Fax
Business Location
2263 E 15TH ST
BROOKLYN NY, 11229-4316, US
Phone (718) 645-2900
Fax
Toxanomy
Taxonomy Code 225100000X
License State New York
License Number 025532
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According to our database, Ideal Health Pt Pc NPI is 1154650026, taxonomy code is 225100000X and license number is 025532, license state is located at New York. Ideal Health Pt Pc physically located at 2263 E 15th St, Brooklyn NY, 11229-4316. NPI Number 1033115704 has the healthcare provider type.

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1154650026 NPI number is provided on an as is basis without warranty of any kind. 1154650026 is maintained by the National Plan & Provider Enumeration System. The contents of Ideal Health Pt Pc are for informational purposes only.