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NPI 1154532216

NPI 1154532216 : BEST OF HEALTH MEDICAL PRACTICE, M.D., P.C. : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1154532216
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    Entity Type          |    Organization 
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    Legal Business Name  |    BEST OF HEALTH MEDICAL PRACTICE, M.D., P.C. 
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Dates
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    Enumeration Date     |    05/24/2007
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    Last Update Date     |    05/12/2008
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Provider Practice Location Address
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    Address Line         |    331 E 71ST ST STE 1B 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10021-4734
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    Country              |    US
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    Telephone            |    212-288-2823
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    Fax                  |    212-639-1971
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Provider Business Mailing Address
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    Address Line         |    331 E 71ST ST STE 1B 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10021-4734
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    Country              |    US
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    Telephone            |    212-288-2823
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    Fax                  |    212-639-1971
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. ROBERT OLIVER MOONEY 
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    Credential           |    M.D.
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    Telephone            |    212-288-2823
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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       |    078155-1
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    License Number State |    NY
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