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General NPI Number Information
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NPI Number | 1043147598
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Entity Type | Individual
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Provider Name | KESIA KUNJUMON DANIEL
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Gender | Female
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Dates
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Enumeration Date | 05/07/2026
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Last Update Date | 05/07/2026
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Provider Practice Location Address
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Address Line | 4160 MAIN STREET
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City | FLUSHING
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State | NY
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Zip | 11355
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Country | US
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Telephone | 929-422-3880
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Fax | 718-732-1307
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Provider Business Mailing Address
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Address Line | 1808 ATHERTON AVE
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City | ELMONT
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State | NY
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Zip | 11003-1720
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Country | US
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Telephone | 917-602-5414
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | P141785
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License Number State | NY
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