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General NPI Number Information
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NPI Number | 1063996668
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Entity Type | Organization
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Legal Business Name | HONEST PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 09/19/2018
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Last Update Date | 09/07/2023
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Provider Practice Location Address
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Address Line | 2100 MIDDLE COUNTRY RD SUITE 17 LOWER LEVEL
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City | CENTEREACH
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State | NY
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Zip | 11720-3577
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Country | US
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Telephone | 631-504-0680
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Fax | 631-204-6577
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Provider Business Mailing Address
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Address Line | 2100 MIDDLE COUNTRY RD SUITE 17 LOWER LEVEL
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City | CENTEREACH
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State | NY
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Zip | 11720-3577
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Country | US
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Telephone | 631-504-0680
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Fax | 631-204-6577
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MATTHEW ESRICK
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Credential | PT, DPT, MBA, A-RSP
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Telephone | 631-504-0680
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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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