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General NPI Number Information
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NPI Number | 1285931345
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Entity Type | Organization
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Legal Business Name | LENOX HILL PHYSICAL AND MASSAGE THERAPY PLLC
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Dates
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Enumeration Date | 02/24/2011
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Last Update Date | 02/24/2011
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Provider Practice Location Address
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Address Line | 214 E 82ND ST
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City | NEW YORK
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State | NY
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Zip | 10028-2723
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Country | US
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Telephone | 212-650-1620
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Fax |
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Provider Business Mailing Address
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Address Line | 214 E 82ND ST
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City | NEW YORK
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State | NY
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Zip | 10028-2723
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Country | US
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Telephone | 212-650-1620
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MR. YEVGENIY SAZONOV
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Credential |
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Telephone | 212-650-1620
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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 | 020574
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 008590
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License Number State | NY
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