Healthcare Provider Details

I. General information

NPI: 1922597202
Provider Name (Legal Business Name): VIKTORIA DIMITROVA-FRANCO DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2018
Last Update Date: 08/11/2020
Certification Date: 08/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2022 BERGEN AVE
BROOKLYN NY
11234-6218
US

IV. Provider business mailing address

2022 BERGEN AVE
BROOKLYN NY
11234-6218
US

V. Phone/Fax

Practice location:
  • Phone: 718-377-5000
  • Fax: 718-377-5002
Mailing address:
  • Phone: 718-666-1012
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number045890
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number045890
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: