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General NPI Number Information
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NPI Number | 1447054085
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Entity Type | Individual
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Provider Name | CRISTINA FIORDIMONDO
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Gender | Female
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Dates
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Enumeration Date | 04/02/2025
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 55 E OLD COUNTRY RD
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City | HICKSVILLE
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State | NY
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Zip | 11801-4293
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Country | US
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Telephone | 516-862-2662
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Fax |
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Provider Business Mailing Address
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Address Line | 16 WILLOW RD
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City | OLD BETHPAGE
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State | NY
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Zip | 11804-1134
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Country | US
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Telephone | 516-729-6007
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Fax |
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 030077
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License Number State | NY
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