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General NPI Number Information
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NPI Number | 1316753783
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Entity Type | Organization
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Legal Business Name | NALEDI PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 12/10/2024
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 140 RIVERSIDE DR STE 1-O
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City | NEW YORK
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State | NY
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Zip | 10024-2605
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Country | US
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Telephone | 347-267-0743
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Fax | 877-871-0666
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Provider Business Mailing Address
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Address Line | 535 W 110TH ST APT 15C
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City | NEW YORK
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State | NY
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Zip | 10025-2065
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Country | US
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Telephone | 347-267-0743
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Fax | 877-871-0666
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Authorized Official
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Title or Position | OWNER
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Name | DIVYA RAJARAMAN
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Credential |
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Telephone | 347-267-0743
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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 |
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License Number State |
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