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General NPI Number Information
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NPI Number | 1245447663
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Entity Type | Organization
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Legal Business Name | METRO SPORTS PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 11/27/2012
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Provider Practice Location Address
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Address Line | 113 E 23RD ST
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City | NEW YORK
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State | NY
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Zip | 10010-4507
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Country | US
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Telephone | 646-742-0165
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Fax | 646-742-0462
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Provider Business Mailing Address
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Address Line | 303 PARK AVE S #1243
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City | NEW YORK
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State | NY
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Zip | 10010-3601
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Country | US
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Telephone | 646-742-0165
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Fax | 646-742-0462
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. SEJAL VYAS
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Credential | PT
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Telephone | 646-742-0165
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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 |
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License Number State |
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