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General NPI Number Information
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NPI Number | 1457227969
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Entity Type | Individual
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Provider Name | MR. RYAN CHRISTOPHER ALBINO GIMOLATAN
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Gender | Male
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Dates
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Enumeration Date | 10/13/2025
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 333 EAST 34TH SUITE 1E
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City | NEW YORK
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State | NY
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Zip | 10016
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Country | US
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Telephone | 212-651-4380
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Fax |
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Provider Business Mailing Address
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Address Line | 14 HILLBRIGHT TERRACE
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City | YONKERS
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State | NY
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Zip | 10703
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 051501
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License Number State | NY
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