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General NPI Number Information
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NPI Number | 1104903467
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Entity Type | Organization
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Legal Business Name | AR PHYSICAL THERAPY & PHYSICAL THERAPIST ASSISTANT PLLC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 19 E 37TH ST
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City | NEW YORK
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State | NY
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Zip | 10016-3005
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Country | US
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Telephone | 212-684-6699
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Fax | 212-684-1886
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Provider Business Mailing Address
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Address Line | 19 E 37TH ST
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City | NEW YORK
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State | NY
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Zip | 10016-3005
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Country | US
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Telephone | 212-684-6699
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Fax | 212-684-1886
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Authorized Official
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Title or Position | OWNER
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Name | MR. ARMANDO C PENNELLA
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Credential | PTA
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Telephone | 212-684-6699
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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 | 023690-1
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License Number State | NY
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