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General NPI Number Information
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NPI Number | 1104735554
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Entity Type | Individual
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Provider Name | IRIS GRIMA DPT
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Gender | Female
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Dates
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Enumeration Date | 09/02/2026
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Last Update Date | 09/02/2026
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Provider Practice Location Address
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Address Line | 246 COLUMBUS AVE
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City | NEW YORK
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State | NY
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Zip | 10023-3331
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Country | US
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Telephone | 212-595-4500
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Fax |
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Provider Business Mailing Address
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Address Line | 10737 71ST AVE APT 8
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City | FOREST HILLS
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State | NY
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Zip | 11375-4776
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Country | US
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Telephone |
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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 |
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License Number State |
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