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General NPI Number Information
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NPI Number | 1356113203
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Entity Type | Organization
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Legal Business Name | MANZON PHYSICAL THERAPY
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Dates
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Enumeration Date | 10/24/2023
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Last Update Date | 10/24/2023
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Provider Practice Location Address
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Address Line | 340 W 55TH ST
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City | NEW YORK
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State | NY
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Zip | 10019-3766
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Country | US
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Telephone | 646-373-4832
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Fax | 646-304-2030
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Provider Business Mailing Address
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Address Line | 340 W 55TH ST
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City | NEW YORK
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State | NY
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Zip | 10019-3766
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Country | US
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Telephone | 646-373-4832
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Fax | 646-304-2030
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Authorized Official
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Title or Position | OWNER
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Name | GABRIEL MANZON
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Credential |
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Telephone | 646-373-4832
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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