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NPI Code Detail

MEDICARE: WILLIAMSBURG PHYSICAL THERAPY P.C.

MEDICARE: WILLIAMSBURG PHYSICAL THERAPY P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist017209NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053490599
Entity Type Code : Organization
Provider Name (Legal Business Name) : WILLIAMSBURG PHYSICAL THERAPY P.C.
Provider Business Mailing Address
First Line : 240 SOUTH 3RD STREET
Second Line :
City : BROOKLYN
State : NY
Zip : 11211
Country : US
Telephone Number : 718-302-0456
Fax Number : 718-302-0472
Provider Business Practice Location Address
First Line : 240 S 3RD ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11211-5602
Country : US
Telephone Number : 718-302-0456
Fax Number : 718-302-0472
Authorized Official
Title or Position : PRESIDENT
Name : MR. ALEX KLURFELD
Credential : PHYSICAL THERAPIST
Telephone Number : 718-302-0456
Provider Enumeration Date : 11/03/2006
Last Update Date : 08/22/2020

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