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General NPI Number Information
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NPI Number | 1053202523
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Entity Type | Organization
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Legal Business Name | FAIRVIEW CARE CENTER LLC
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Dates
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Enumeration Date | 07/14/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 12 FAIRVIEW PL
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City | BROOKLYN
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State | NY
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Zip | 11226-4216
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Country | US
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Telephone | 718-587-0253
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Fax | 718-587-0956
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Provider Business Mailing Address
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Address Line | 12 FAIRVIEW PL
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City | BROOKLYN
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State | NY
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Zip | 11226-4216
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Country | US
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Telephone | 718-587-0253
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Fax | 718-587-0956
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | GERSHON MARTON
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Credential |
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Telephone | 347-855-4977
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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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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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