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NPI 1245889245

NPI 1245889245 : BODY ALLIANCE PHYSICAL THERAPY,PC : BROOKLYN, NY

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General NPI Number Information
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    NPI Number           |    1245889245
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    Entity Type          |    Organization 
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    Legal Business Name  |    BODY ALLIANCE PHYSICAL THERAPY,PC 
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Dates
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    Enumeration Date     |    09/11/2019
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    Last Update Date     |    06/17/2025
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Provider Practice Location Address
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    Address Line         |    871 59TH ST FL 1 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11220-3611
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    Country              |    US
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    Telephone            |    201-940-0837
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8115 QUEENS BLVD APT 7A 
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    City                 |    ELMHURST
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    State                |    NY
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    Zip                  |    11373-3778
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    Country              |    US
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    Telephone            |    201-940-0837
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PT
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    Name                 |     MARY GRACE FRANCISCO 
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    Credential           |    
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    Telephone            |    201-940-0837
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2081P2900X
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    Taxonomy Name        |    Pain Medicine (Physical Medicine & Rehabilitation) Physician
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    License Number       |    
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    License Number State |    
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