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General NPI Number Information
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NPI Number | 1013256346
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Entity Type | Organization
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Legal Business Name | NY TOTAL BODY PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 02/06/2013
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Last Update Date | 04/28/2023
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Provider Practice Location Address
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Address Line | 3272 STEINWAY ST STE B02
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City | ASTORIA
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State | NY
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Zip | 11103-9713
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Country | US
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Telephone | 718-255-1086
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Fax | 718-255-6430
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Provider Business Mailing Address
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Address Line | 3272 STEINWAY ST STE B02
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City | ASTORIA
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State | NY
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Zip | 11103-9713
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Country | US
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Telephone | 718-255-1086
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Fax | 718-255-6430
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MS. ANJIE ACE GARCIANO ZOZOBRANDO
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Credential |
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Telephone | 718-255-1086
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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 | 024998
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License Number State | NY
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