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General NPI Number Information
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NPI Number | 1356742365
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Entity Type | Organization
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Legal Business Name | METRO PHYSICAL OCCUPATIONAL SPEECH MASSAGE THERAPY & ACUPUNCTURE PLLC
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Dates
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Enumeration Date | 09/09/2014
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 800 E GATE BLVD
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City | GARDEN CITY
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State | NY
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Zip | 11530-2105
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Country | US
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Telephone | 516-745-8070
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Fax | 516-745-6766
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Provider Business Mailing Address
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Address Line | 800 E GATE BLVD
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City | GARDEN CITY
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State | NY
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Zip | 11530-2105
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Country | US
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Telephone | 516-745-8070
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Fax | 516-745-6766
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Authorized Official
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Title or Position | MEMBER
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Name | MS. KAREN A BAXTER
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Credential | MSPT
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Telephone | 516-738-4723
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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 | 005253
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 035737
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 017848
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License Number State | NY
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