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General NPI Number Information
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NPI Number | 1154432920
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Entity Type | Organization
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Legal Business Name | REHAB-PRO OF CONGERS P.T.PLLC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 285 N ROUTE 303 STE 15
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City | CONGERS
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State | NY
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Zip | 10920-1425
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Country | US
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Telephone | 845-268-8998
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Fax | 845-268-8999
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Provider Business Mailing Address
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Address Line | 285 N ROUTE 303 STE 15
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City | CONGERS
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State | NY
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Zip | 10920-1425
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Country | US
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Telephone | 845-268-8998
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Fax | 845-268-8999
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Authorized Official
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Title or Position | OWNER
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Name | MRS. IWONA JOLANTA TYBINKOWSKA
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Credential | P.T.
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Telephone | 845-268-8998
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 016209
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License Number State | NY
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