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NPI Code Detail

MEDICARE: DR. BORIS ZARETSKY DPT

MEDICARE: DR. BORIS ZARETSKY DPT
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
1225100000XPhysical Therapist018570NY
2225100000XPhysical Therapist40QA00981600NJ

General Provider Information

NPI Number : 1477562494
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BORIS ZARETSKY DPT
Provider Business Mailing Address
First Line : 8 W 38TH ST
Second Line : RM 503
City : NEW YORK
State : NY
Zip : 10018-6368
Country : US
Telephone Number : 917-442-7763
Fax Number :
Provider Business Practice Location Address
First Line : 3065 BRIGHTON 14TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-5501
Country : US
Telephone Number : 718-646-8700
Fax Number : 718-646-8726
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2006
Last Update Date : 10/22/2019

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