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General NPI Number Information
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NPI Number | 1467112946
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Entity Type | Organization
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Legal Business Name | IRWIN PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 12/23/2021
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Last Update Date | 02/02/2025
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Provider Practice Location Address
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Address Line | 3635 HILL BLVD
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City | JEFFERSON VALLEY
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State | NY
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Zip | 10535-1501
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Country | US
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Telephone | 845-745-4017
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Fax | 845-259-1906
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Provider Business Mailing Address
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Address Line | 2802 MORELAND ST
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City | YORKTOWN HEIGHTS
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State | NY
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Zip | 10598-2422
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Country | US
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Telephone | 917-476-5286
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. IRWIN MERCADER
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Credential | PT
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Telephone | 845-745-4017
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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 |
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License Number State |
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