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NPI 1255325494

NPI 1255325494 : LINDA INGBER PT : GREAT NECK, NY

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General NPI Number Information
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    NPI Number           |    1255325494
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    Entity Type          |    Individual 
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    Provider Name        |    LINDA INGBER PT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/02/2005
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    Last Update Date     |    03/27/2025
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Provider Practice Location Address
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    Address Line         |    475 NORTHERN BLVD STE 11 
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    City                 |    GREAT NECK
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    State                |    NY
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    Zip                  |    11021-4802
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    Country              |    US
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    Telephone            |    516-829-0030
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    Fax                  |    516-466-7723
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Provider Business Mailing Address
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    Address Line         |    67 CARMAN AVE 
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    City                 |    CEDARHURST
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    State                |    NY
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    Zip                  |    11516-1904
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    Country              |    US
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    Telephone            |    516-569-6800
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    Fax                  |    516-569-8739
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    008752
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    License Number State |    NY
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