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NPI Code Detail

MEDICARE: PARK SLOPE PHYSICAL THERAPY, PLLC

MEDICARE: PARK SLOPE PHYSICAL THERAPY, PLLC
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
1261QP2000XPhysical Therapy Clinic/CenterNY

General Provider Information

NPI Number : 1679654685
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARK SLOPE PHYSICAL THERAPY, PLLC
Provider Business Mailing Address
First Line : 326 7TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11215-3311
Country : US
Telephone Number : 718-369-3506
Fax Number :
Provider Business Practice Location Address
First Line : 326 7TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11215-3311
Country : US
Telephone Number : 718-369-3506
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : ROY BARSOLA
Credential : PT DPT
Telephone Number : 718-369-3506
Provider Enumeration Date : 10/17/2006
Last Update Date : 08/31/2007

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