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General NPI Number Information
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NPI Number | 1447587530
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Entity Type | Organization
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Legal Business Name | CITY PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 11/10/2009
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Last Update Date | 10/09/2020
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Provider Practice Location Address
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Address Line | 118 BAXTER ST STE 303
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City | NEW YORK
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State | NY
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Zip | 10013-3675
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Country | US
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Telephone | 212-537-0110
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Fax | 212-537-6240
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Provider Business Mailing Address
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Address Line | PO BOX 1271
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City | NEW YORK
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State | NY
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Zip | 10013-0863
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Country | US
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Telephone | 212-537-0110
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Fax | 212-537-6240
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. DANIEL TAHANY
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Credential | P.T.
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Telephone | 212-537-0110
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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 | 020183
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License Number State | NY
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