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General NPI Number Information
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NPI Number | 1427565910
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Entity Type | Organization
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Legal Business Name | WESTBURY PHYSICAL THERAPY. PLLC
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Dates
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Enumeration Date | 01/05/2018
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Last Update Date | 01/05/2018
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Provider Practice Location Address
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Address Line | 827 CARMAN AVE
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City | WESTBURY
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State | NY
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Zip | 11590-6429
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Country | US
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Telephone | 516-279-6486
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Fax | 516-977-3512
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Provider Business Mailing Address
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Address Line | 827 CARMAN AVE
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City | WESTBURY
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State | NY
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Zip | 11590-6429
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Country | US
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Telephone | 516-279-6486
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Fax | 516-977-3512
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/ OWNER
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Name | MR. ERIBERTO CYRIS CYRIS RAMOS III III
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Credential | PT
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Telephone | 516-279-6486
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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 | 022256
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License Number State | NY
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