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General NPI Number Information
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NPI Number | 1326413378
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Entity Type | Organization
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Legal Business Name | RICHMOND MEDICAL REHABILITATION SERVICES, PLLC
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Dates
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Enumeration Date | 12/02/2015
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Last Update Date | 12/02/2015
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Provider Practice Location Address
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Address Line | 200 LAFAYETTE AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10301-1219
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Country | US
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Telephone | 718-980-0101
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Fax |
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Provider Business Mailing Address
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Address Line | 22 HILLTOP TER
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City | STATEN ISLAND
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State | NY
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Zip | 10304-1109
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. PERRY DRUCKER
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Credential | MD
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Telephone | 718-980-0101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 182903
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License Number State | NY
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