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NPI Code Detail

MEDICARE: MRS. ROZALIYA BELENKIY PTA

MEDICARE:  MRS. ROZALIYA  BELENKIY  PTA
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
1225200000XPhysical Therapy Assistant5936723NY

General Provider Information

NPI Number : 1811109531
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ROZALIYA BELENKIY PTA
Provider Business Mailing Address
First Line : 2354 62ND ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-2636
Country : US
Telephone Number : 718-376-0653
Fax Number :
Provider Business Practice Location Address
First Line : 883 65TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-4737
Country : US
Telephone Number : 718-283-8961
Fax Number : 718-635-8940
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. ROZALIYA BELENKIY PTA” Practice Location

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