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General NPI Number Information
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NPI Number | 1326355058
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Entity Type | Organization
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Legal Business Name | ELITE PERFORMANCE PHYSICAL THERAPY OF WESTCHESTER PC
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Dates
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Enumeration Date | 09/01/2010
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 175 E MAIN ST STE 204
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City | MOUNT KISCO
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State | NY
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Zip | 10549-2973
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Country | US
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Telephone | 917-476-2164
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Fax | 914-245-3905
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Provider Business Mailing Address
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Address Line | PO BOX 179
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City | SOMERS
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State | NY
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Zip | 10589-0179
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Country | US
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Telephone | 917-476-2164
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Fax | 914-245-3905
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Authorized Official
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Title or Position | PRESIDENT / PHYSICAL THERAPIST
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Name | TINA M SFERRA
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Credential | MSPT
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Telephone | 917-476-2164
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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 | NY
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