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General NPI Number Information
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NPI Number | 1295019172
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Entity Type | Organization
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Legal Business Name | ESPRIT CHIROPRACTIC & PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 10/10/2011
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 34 W 119TH STREET
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City | NEW YORK
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State | NY
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Zip | 10026
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Country | US
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Telephone | 212-354-2020
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Fax | 347-230-6265
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Provider Business Mailing Address
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Address Line | 34 W 119TH STREET
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City | NEW YORK
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State | NY
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Zip | 10026
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Country | US
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Telephone | 212-354-2020
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Fax | 347-230-6265
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AATIF M SIDDIQUI
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Credential | D.C.
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Telephone | 212-354-2020
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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 | 033603
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 08634
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License Number State | NY
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