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General NPI Number Information
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NPI Number | 1265679849
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Entity Type | Organization
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Legal Business Name | GOLD STANDARD PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 01/19/2009
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Last Update Date | 01/07/2014
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Provider Practice Location Address
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Address Line | 271 MADISON AVE SUITE 1407
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City | NEW YORK
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State | NY
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Zip | 10016-1001
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Country | US
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Telephone | 212-481-4022
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Fax | 212-481-4023
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Provider Business Mailing Address
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Address Line | 271 MADISON AVE SUITE 1407
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City | NEW YORK
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State | NY
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Zip | 10016-1001
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Country | US
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Telephone | 212-481-4022
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Fax | 212-481-4023
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Authorized Official
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Title or Position | MEMBER
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Name | DR. CHRISTINE MARIE YANAZZO
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Credential | PT, OCS
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Telephone | 914-420-7212
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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 | 020871
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License Number State | NY
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