MEDICARE: YAKOV OSTROVSKY

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
1	225100000X	Physical Therapist	015076	NY

General Provider Information

NPI Number	:	1114965118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YAKOV OSTROVSKY

Provider Business Mailing Address
First Line	:	2445 E 71ST ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-6513
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2445 E 71ST ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-6513
Country	:	US
Telephone Number	:	718-434-4311
Fax Number	:	718-434-4355

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	08/09/2012

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Directions to “ YAKOV OSTROVSKY ” Practice Location

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