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NPI 1407800618

NPI 1407800618 : IRENE M FERRER PT : STATEN ISLAND, NY

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General NPI Number Information
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    NPI Number           |    1407800618
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    Entity Type          |    Individual 
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    Provider Name        |    IRENE M FERRER PT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/20/2006
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    Last Update Date     |    11/28/2007
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Provider Practice Location Address
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    Address Line         |    1225 RICHMOND RD 
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    City                 |    STATEN ISLAND
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    State                |    NY
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    Zip                  |    10304-2415
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    Country              |    US
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    Telephone            |    718-477-2971
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    Fax                  |    718-659-0704
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Provider Business Mailing Address
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    Address Line         |    1225 RICHMOND RD 
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    City                 |    STATEN ISLAND
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    State                |    NY
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    Zip                  |    10304-2415
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    Country              |    US
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    Telephone            |    718-477-2971
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    Fax                  |    718-659-0704
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    017971-1
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    License Number State |    NY
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