| Back 2 Shape P.t. & O.t., Pllc | |
|
2411 E 2nd St, Brooklyn, NY 11223-6041 | |
| (718) 909-5929 | |
| (718) 942-5753 |
| Full Name | Back 2 Shape P.t. & O.t., Pllc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 2411 E 2nd St, Brooklyn, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073022281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| Provider Name | Machial I Kreyner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851724405 PECOS PAC ID: 5092941351 Enrollment ID: I20131115001409 |
| Provider Name | Yuliya Royberman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073973137 PECOS PAC ID: 6709173446 Enrollment ID: I20161104000477 |
| Mailing Address | Practice Location Address |
|---|---|
| Back 2 Shape P.t. & O.t., Pllc 2411 E 2nd St, Brooklyn, NY 11223-6041 Ph: () - | Back 2 Shape P.t. & O.t., Pllc 2411 E 2nd St, Brooklyn, NY 11223-6041 Ph: (718) 909-5929 |
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