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NPI Code Detail

MEDICARE: YELENA VILMAN DPT

MEDICARE: YELENA VILMAN 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 Therapist049171NY

General Provider Information

NPI Number : 1841913092
Entity Type Code : Individual
Provider Name (Legal Business Name) : YELENA VILMAN DPT
Provider Business Mailing Address
First Line : 365 BOND ST APT A902
Second Line :
City : BROOKLYN
State : NY
Zip : 11231-5153
Country : US
Telephone Number : 917-757-7637
Fax Number :
Provider Business Practice Location Address
First Line : 6202 15TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-5403
Country : US
Telephone Number : 718-303-9400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2022
Last Update Date : 09/22/2022

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