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General NPI Number Information
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NPI Number | 1275651135
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Entity Type | Organization
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Legal Business Name | EXPERT PHYSICAL MEDICINE & REHABILITATION, PC
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 103 S BEDFORD RD STE 206
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City | MOUNT KISCO
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State | NY
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Zip | 10549-3440
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Country | US
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Telephone | 914-242-3500
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Fax | 914-242-7036
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Provider Business Mailing Address
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Address Line | 103 S BEDFORD RD STE 206
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City | MOUNT KISCO
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State | NY
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Zip | 10549-3440
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Country | US
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Telephone | 914-242-3500
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Fax | 914-242-7036
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. MARSHALL B KURTZ
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Credential | D.O.
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Telephone | 914-242-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 164146
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License Number State | NY
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