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General NPI Number Information
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NPI Number | 1306650759
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Entity Type | Organization
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Legal Business Name | MARIA GERLICH, PHYSICAL THERAPIST, PLLC
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 7 W 22ND ST FL 8
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City | NEW YORK
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State | NY
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Zip | 10010-5142
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Country | US
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Telephone | 917-691-0637
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Fax |
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Provider Business Mailing Address
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Address Line | 865 W END AVE APT 12B
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City | NEW YORK
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State | NY
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Zip | 10025-8408
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Country | US
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Telephone | 917-691-0637
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARIA GERLICH
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Credential | P.T.
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Telephone | 917-691-0637
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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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