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General NPI Number Information
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NPI Number | 1457636136
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Entity Type | Organization
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Legal Business Name | F SQUARED PHYSICAL THERAPY OF NEW YORK, PLLC
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Dates
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Enumeration Date | 10/13/2011
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Last Update Date | 10/13/2011
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Provider Practice Location Address
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Address Line | 250 W 26TH ST SUITE 402
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City | NEW YORK
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State | NY
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Zip | 10001-6737
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Country | US
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Telephone | 212-675-5650
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Fax |
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Provider Business Mailing Address
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Address Line | 250 W 26TH ST SUITE 402
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City | NEW YORK
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State | NY
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Zip | 10001-6737
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Country | US
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Telephone | 212-675-5650
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST, CO-OWNER
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Name | PAUL ANTHONY OCHOA
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Credential | DPT
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Telephone | 917-538-3629
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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 |
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License Number State | NY
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