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General NPI Number Information
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NPI Number | 1144886912
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Entity Type | Organization
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Legal Business Name | EAST VILLAGE PHYSICAL MEDICINE, PC
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Dates
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Enumeration Date | 05/16/2019
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 33 E 7TH ST
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City | NEW YORK
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State | NY
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Zip | 10003-8191
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Country | US
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Telephone | 212-260-2213
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Fax | 212-260-2354
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Provider Business Mailing Address
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Address Line | 33 E 7TH ST
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City | NEW YORK
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State | NY
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Zip | 10003-8191
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Country | US
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Telephone | 212-260-2213
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Fax | 212-260-2354
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. NATALY CABRAL
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Credential |
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Telephone | 212-260-2213
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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