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General NPI Number Information
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NPI Number | 1275764714
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Entity Type | Organization
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Legal Business Name | CMS PHYSICAL THERAPY, P.C.
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Dates
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Enumeration Date | 07/31/2009
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Last Update Date | 07/31/2009
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Provider Practice Location Address
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Address Line | 2367 WESTCHESTER AVE
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City | BRONX
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State | NY
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Zip | 10462-5007
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Country | US
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Telephone | 347-844-2310
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Fax | 718-597-2902
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Provider Business Mailing Address
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Address Line | 2367 WESTCHESTER AVE
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City | BRONX
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State | NY
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Zip | 10462-5007
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Country | US
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Telephone | 347-844-2310
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Fax | 718-597-2902
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Authorized Official
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Title or Position | PRESIDENT
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Name | ISLAM SHERIF
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Credential | PHYSICAL THRAPIST
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Telephone | 347-844-2310
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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 | 023514
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License Number State | NY
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