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General NPI Number Information
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NPI Number | 1023787009
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Entity Type | Organization
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Legal Business Name | METRO SPORTS PHYSICAL THERAPY 48TH STREET, PC
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Dates
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Enumeration Date | 09/13/2021
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Last Update Date | 09/14/2021
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Provider Practice Location Address
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Address Line | 226 E 54TH ST STE 304
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City | NEW YORK
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State | NY
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Zip | 10022-4854
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Country | US
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Telephone | 212-759-2882
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Fax | 212-759-2996
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Provider Business Mailing Address
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Address Line | 30 WATERSIDE PLZ APT 15J
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City | NEW YORK
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State | NY
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Zip | 10010-2623
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Country | US
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Telephone | 917-887-1525
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Fax | 212-682-8753
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOSEPH J REDINGTON
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Credential | PT
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Telephone | 917-887-1525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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