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General NPI Number Information
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NPI Number | 1336006931
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Entity Type | Organization
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Legal Business Name | MY NYC PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 3620 E TREMONT AVE STE 204
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City | BRONX
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State | NY
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Zip | 10465-0380
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Country | US
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Telephone | 347-293-7600
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Fax |
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Provider Business Mailing Address
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Address Line | 14429 78TH AVE FL 1
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City | FLUSHING
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State | NY
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Zip | 11367-3430
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Country | US
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Telephone | 917-670-8258
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. MOSHIAH YAKUBOV
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Credential | DPT
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Telephone | 917-670-8258
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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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