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General NPI Number Information
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NPI Number | 1144491457
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Entity Type | Organization
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Legal Business Name | ALLIANCE PHYSICAL THERAPY, P.C.
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Dates
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Enumeration Date | 03/13/2008
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Last Update Date | 12/28/2012
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Provider Practice Location Address
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Address Line | 5765 AMBOY RD
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City | STATEN ISLAND
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State | NY
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Zip | 10309-3135
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Country | US
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Telephone | 718-227-5757
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Fax | 718-227-5025
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Provider Business Mailing Address
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Address Line | 5765 AMBOY RD
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City | STATEN ISLAND
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State | NY
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Zip | 10309-3135
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Country | US
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Telephone | 718-227-5757
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Fax | 718-227-5025
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. WILLIAM S. MACRI
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Credential | P.T.
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Telephone | 718-227-5757
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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 | 016717
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License Number State | NY
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