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NPI 1003080649

NPI 1003080649 : HECTOR MELGAR PT PC : HUNTINGTON STATION, NY

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General NPI Number Information
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    NPI Number           |    1003080649
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    Entity Type          |    Organization 
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    Legal Business Name  |    HECTOR MELGAR PT PC 
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Dates
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    Enumeration Date     |    04/15/2008
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    Last Update Date     |    07/16/2024
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Provider Practice Location Address
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    Address Line         |    1800A NEW YORK AVE 
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    City                 |    HUNTINGTON STATION
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    State                |    NY
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    Zip                  |    11746-2955
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    Country              |    US
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    Telephone            |    631-427-6920
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1800A NEW YORK AVE 
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    City                 |    HUNTINGTON STATION
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    State                |    NY
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    Zip                  |    11746-2955
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    Country              |    US
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    Telephone            |    631-427-6920
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    Fax                  |    631-366-4473
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Authorized Official
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    Title or Position    |    DIRECTOR/PRESIDENT
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    Name                 |    MR. HECTOR A. MELGAR 
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    Credential           |    PHYSICAL THERAPIST
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    Telephone            |    631-388-7500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP2000X
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    Taxonomy Name        |    Physical Therapy Clinic/Center
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    License Number       |    022133
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    License Number State |    NY
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