Healthcare Provider Details

I. General information

NPI: 1740738541
Provider Name (Legal Business Name): BROOKLYN PHYSICAL THERAPY ASSOCIATES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2016
Last Update Date: 09/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

973 FULTON ST
BROOKLYN NY
11238-2346
US

IV. Provider business mailing address

973 FULTON ST
BROOKLYN NY
11238-2346
US

V. Phone/Fax

Practice location:
  • Phone: 718-622-0224
  • Fax: 718-622-0135
Mailing address:
  • Phone: 718-622-0224
  • Fax: 718-622-0135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number020227
License Number StateNY

VIII. Authorized Official

Name: MR. CRAIG BELKIN
Title or Position: OWNER
Credential: P.T.
Phone: 718-622-0224