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General NPI Number Information
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NPI Number | 1063843571
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Entity Type | Organization
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Legal Business Name | FIRST AID PT PC
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Dates
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Enumeration Date | 12/09/2013
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Last Update Date | 08/02/2022
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Provider Practice Location Address
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Address Line | 26270 HYLAN BLVD SUITE 4
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City | STATEN ISLAND
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State | NY
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Zip | 10306
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Country | US
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Telephone | 718-351-2300
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Fax | 718-351-2301
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Provider Business Mailing Address
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Address Line | 26270 HYLAN BLVD SUITE 4
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City | STATEN ISLAND
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State | NY
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Zip | 10306
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Country | US
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Telephone | 718-351-2300
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Fax | 718-351-2301
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Authorized Official
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Title or Position | OWNER
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Name | BONS VORIK
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Credential | PT, DPT
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Telephone | 917-476-2884
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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 | 033278
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License Number State | NY
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