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General NPI Number Information
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NPI Number | 1477503779
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Entity Type | Organization
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Legal Business Name | HEALING TOUCH PHYSICAL THERAPY & REHABILITATION P C
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 1605 HILLSIDE AVE
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-2603
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Country | US
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Telephone | 516-616-0942
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Fax | 516-616-0943
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Provider Business Mailing Address
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Address Line | 1605 HILLSIDE AVE
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-2603
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Country | US
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Telephone | 516-616-0942
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Fax | 516-616-0943
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JEDHEESH C PERUVINGAL
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Credential | DPT
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Telephone | 516-616-0942
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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 | 018928
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License Number State | NY
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