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General NPI Number Information
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NPI Number | 1417565888
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Entity Type | Organization
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Legal Business Name | COMFORT CARE PHYSICAL THERAPY REHABILITATION PC
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Dates
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Enumeration Date | 07/21/2020
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 303 BROOK AVE
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City | BRONX
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State | NY
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Zip | 10454-2508
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Country | US
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Telephone | 800-750-8616
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Fax |
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Provider Business Mailing Address
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Address Line | 303 BROOK AVE
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City | BRONX
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State | NY
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Zip | 10454-2508
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Country | US
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Telephone | 347-590-6565
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Fax | 347-590-6564
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Authorized Official
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Title or Position | OWNER
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Name | DIVYA PAGHADAL
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Credential | PT
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Telephone | 908-476-8990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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