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General NPI Number Information
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NPI Number | 1023610730
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Entity Type | Organization
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Legal Business Name | BODHIZONE FOR HUMAN PERFORMANCE & SPORTS PHYSICAL THERAPY, P.C.
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Dates
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Enumeration Date | 11/09/2020
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Last Update Date | 07/18/2024
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Provider Practice Location Address
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Address Line | 1301 AVENUE OF THE AMERICAS PARAMOUNT WELLNESS / CONCOURSE LEVEL
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City | NEW YORK
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State | NY
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Zip | 10019-6022
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Country | US
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Telephone | 347-507-5877
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Fax | 347-507-5877
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Provider Business Mailing Address
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Address Line | 1301 AVENUE OF THE AMERICAS PARAMOUNT WELLNESS / CONCOURSE LEVEL
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City | NEW YORK
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State | NY
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Zip | 10019-6022
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Country | US
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Telephone | 347-507-5877
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Fax | 347-507-5877
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Authorized Official
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Title or Position | OWNER
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Name | DR. SCOTT ADAM WEISS
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Credential | DPT ATC DMQ
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Telephone | 516-375-9776
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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 |
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License Number State |
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