Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kingsbrook Practice Plan

Organization Physical Medicine & Rehabilitation Physician · NPI 1417132390

Kingsbrook Practice Plan is a Physical Medicine & Rehabilitation Physician in Brooklyn, New York. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

585 Schenectady Ave
Brooklyn, NY 11203-1809
Phone: (212) 563-2497
Fax: (212) 563-0605
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X

Record details

NPI number1417132390
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marc Ross — Director · (212) 563-2497
NPI enumeratedJanuary 9, 2008
Last updated in NPPESOctober 24, 2008
Mailing address158 W 27th St, 11th Fl S, New York, NY 10001-6216

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