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General NPI Number Information
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NPI Number | 1003961491
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Entity Type | Organization
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Legal Business Name | INFINITY SPORTS MEDICINE AND REHABILITATION, PLLC
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 10/26/2015
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Provider Practice Location Address
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Address Line | 55 W 19TH ST
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City | NEW YORK
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State | NY
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Zip | 10011-4223
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Country | US
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Telephone | 212-488-3400
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Fax | 212-488-3401
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Provider Business Mailing Address
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Address Line | 55 W 19TH ST
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City | NEW YORK
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State | NY
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Zip | 10011-4223
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Country | US
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Telephone | 212-488-3400
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Fax | 212-488-3401
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Authorized Official
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Title or Position | MEMBER
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Name | DR. MARINA BABIY
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Credential | M.D
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Telephone | 212-488-3400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 225751
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License Number State | NY
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