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General NPI Number Information
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NPI Number | 1285416776
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Entity Type | Organization
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Legal Business Name | FLOYD YU TIAMCO PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 10/18/2023
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Last Update Date | 10/18/2023
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Provider Practice Location Address
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Address Line | 615 W 183RD ST APT 6H
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City | NEW YORK
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State | NY
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Zip | 10033-3984
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Country | US
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Telephone | 646-925-9778
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Fax |
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Provider Business Mailing Address
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Address Line | 615 W 183RD ST APT 6H
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City | NEW YORK
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State | NY
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Zip | 10033-3984
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Country | US
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Telephone | 646-925-9778
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. FLOYD ANTON AMORA YU TIAMCO
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Credential |
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Telephone | 646-925-9778
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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 |
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License Number State |
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