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General NPI Number Information
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NPI Number | 1023314093
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Entity Type | Organization
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Legal Business Name | ALL RIVERDALE PHYSICAL THERAPY, PC
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Dates
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Enumeration Date | 02/08/2011
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 3424 KINGSBRIDGE AVE APT 1H
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City | BRONX
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State | NY
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Zip | 10463-4002
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Country | US
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Telephone | 718-884-2460
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Fax | 888-543-7447
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Provider Business Mailing Address
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Address Line | 444 W 259TH ST APT 1
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City | BRONX
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State | NY
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Zip | 10471-1622
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Country | US
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Telephone | 718-884-4260
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Fax | 888-543-7447
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Authorized Official
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Title or Position | PRESIDENT
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Name | DIONISIO MAURO
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Credential |
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Telephone | 718-884-8248
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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 | 008557
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License Number State | NY
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