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General NPI Number Information
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NPI Number | 1134368079
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Entity Type | Organization
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Legal Business Name | GERARD FIORDALISI PT PC
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Dates
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Enumeration Date | 02/17/2009
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Last Update Date | 01/08/2020
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Provider Practice Location Address
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Address Line | 8 MCGUINNESS BLVD S
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City | BROOKLYN
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State | NY
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Zip | 11222-4997
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Country | US
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Telephone | 718-389-3131
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Fax | 718-389-0625
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Provider Business Mailing Address
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Address Line | 8 MCGUINNESS BLVD S
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City | BROOKLYN
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State | NY
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Zip | 11222-4997
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Country | US
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Telephone | 718-389-3131
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Fax | 718-389-0625
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Authorized Official
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Title or Position | DOCTOR OF PHYSCIAL THERAPY
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Name | DR. GERARD FIORDALISI
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Credential | P.T. D.P.T.
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Telephone | 718-389-3131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 006109-1
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License Number State | NY
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