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General NPI Number Information
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NPI Number | 1356771588
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Entity Type | Organization
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Legal Business Name | M.Y. PHYSICAL THERAPY
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Dates
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Enumeration Date | 11/25/2013
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Last Update Date | 11/25/2013
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Provider Practice Location Address
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Address Line | 30 E 60TH ST SUITE 904
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City | NEW YORK
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State | NY
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Zip | 10022-1008
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Country | US
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Telephone | 212-486-3202
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Fax |
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Provider Business Mailing Address
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Address Line | 30 E 60TH ST SUITE 904
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City | NEW YORK
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State | NY
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Zip | 10022-1008
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Country | US
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Telephone | 212-486-3202
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | KAREN M YANELLI
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Credential | P.T.
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Telephone | 631-745-7534
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 028443
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License Number State | NY
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