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General NPI Number Information
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NPI Number | 1003150640
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Entity Type | Organization
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Legal Business Name | GRAMERCY PARK PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 11/20/2012
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Last Update Date | 03/01/2024
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Provider Practice Location Address
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Address Line | 173 TULIP AVE
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City | FLORAL PARK
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State | NY
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Zip | 11001-2703
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Country | US
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Telephone | 718-285-2706
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Fax | 516-407-5189
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Provider Business Mailing Address
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Address Line | 173 TULIP AVE
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City | FLORAL PARK
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State | NY
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Zip | 11001-2703
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Country | US
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Telephone | 718-285-2706
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Fax | 516-407-5189
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Authorized Official
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Title or Position | OWNER/ PRESIDENT
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Name | YEHIA MOHAMED
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Credential | DPT
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Telephone | 718-285-2706
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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 | 031486
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License Number State | NY
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