OrganizationActive
Dekhtyarev Physical Therapy PC
NPI 1508099417 · Physical Disabilities Residential Treatment Facility · Brooklyn, NY
Provider details
- NPI number
- 1508099417
- Entity type
- Organization
- Primary specialty
- Physical Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Aleksandr Dekhtyarev, President
- License
- 030526 (NY)
Mailing address
2044 E 18th St Apt 2f
Brooklyn, NY 11229-3836
Registry dates
- Enumerated
- 2009-08-26
- Last updated
- 2009-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.