DMITRY SHESTAKOVSKY (NPI# 1467502922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467502922 |
Entity Type | Individual |
Full Name | DMITRY SHESTAKOVSKY |
Credential | DPT |
Practice Address |
2327 83rd St Ste C Brooklyn NY 11214-2749 |
Mailing Address |
444 Neptune Ave Apt 10m Brooklyn NY 11224-4421 |
Practice Telephone | 7189969929 |
Practice Fax Number | 7182651807 |
Mailing Telephone | 7189969493 |
Enumeration Date | 2007-01-10 |
Last Update Date | 2011-12-14 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
020632-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
2327 83RD ST STE C |
City | BROOKLYN |
State | NY |
Zip Code | 11214-2749 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861589673 | Galina Zaretsky | Internal Medicine | 2327 83rd St Ste C, Brooklyn, NY 11214-2749 | 2006-10-05 |
1578798534 | Omega Physical Therapy,pc | Residential Treatment Facility, Physical Disabilities | 2327 83rd St Ste C, Brooklyn, NY 11214-2749 | 2009-05-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336763440 | Safe Reach Pt P.C. | Physical Therapist | 331 Bay 14th Street, Fl.#1, Brooklyn, NY 11214 | 2020-06-04 |
1891325353 | Mahmoud Ali | Physical Therapist | 96 28th Avenue 3rd Floor, Brooklyn, NY 11214 | 2020-01-23 |
1407370489 | Georgette Neglia | Counselor | 195 Bay 19th Street, Brooklyn, NY 11214 | 2017-08-01 |
1063936151 | Ummat Pharmacy Inc | Pharmacy | 8719 18th Avenue, Brooklyn, NY 11214 | 2017-07-31 |
1518489293 | S&j Pegasus Inc | PACE Provider Organization | 8754 Bay 16th Street, Cellular Floor, Brooklyn, NY 11214 | 2017-07-13 |
1063934909 | Edita Greben | Speech-Language Pathologist | 8823 23rd Avenue, 3rd Floor, Brooklyn, NY 11214 | 2017-07-12 |
1649791104 | Rachel Sandler | Religious Nonmedical Nursing Personnel | 79- 20th Avenue, Brooklyn, NY 11214 | 2017-07-05 |
1003343849 | Catholic Charities Brooklyn and Queens | Case Management | 190 Bay Street, Brooklyn, NY 11214 | 2017-05-11 |
1447785316 | Four Season Medical Pllc | Internal Medicine | 2044 86th Street, Brooklyn, NY 11214 | 2017-04-27 |
1134669716 | Uhealthy Pharmacy Inc. | Pharmacy | 2263 86th Street, Brooklyn, NY 11214 | 2017-03-02 |
Find all providers in zip 11214 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891392940 | Dr Omolola Omishore Pt, P.C. | Physical Therapist | 1138 Ocean Ave Apt 6i, Brooklyn, NY 11230 | 2020-10-01 |
1679195499 | Vital Rehab LLC | Physical Therapist | 3165 Nostrand Ave Apt 4e, Brooklyn, NY 11229-3243 | 2020-05-14 |
1538709449 | Jacopo Mattaini | Physical Therapist | 148 39th St Fl 7, Brooklyn, NY 11232-2550 | 2020-01-08 |
1457900789 | Kinetic Chi Physical Therapy Pllc | Physical Therapist | 1469 W 8th St Apt 2, Brooklyn, NY 11204-6477 | 2019-09-09 |
1285145524 | Jonathan Locitzer Physical Therapy P.c | Physical Therapist | 185 Degraw St, Brooklyn, NY 11231-3007 | 2017-10-13 |
1689193492 | Corina Kim Ehrenberg | Physical Therapist | 293 18 St, Brooklyn, NY 11215 | 2017-09-12 |
1104375989 | Jerome De Asis Quimson | Physical Therapist | 22 Battery Ave, Brooklyn, NY 11228-3502 | 2016-09-22 |
1427483825 | Clifford Civil | Physical Therapist | 310 Clarkson Ave Apt 208, Brooklyn, NY 11226-2999 | 2013-09-05 |
1629395009 | Ki Chi Chi | Physical Therapist | 5008 7th Ave Ste 1, Brooklyn, NY 11220-2167 | 2010-04-26 |
1396924981 | Khaled Houssein Eleesily | Physical Therapist | 578 Fort Hill Pl, 3, Brooklyn, NY 11228-3608 | 2007-10-30 |
Find all providers in BROOKLYN |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.