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General NPI Number Information
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NPI Number | 1497515621
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Entity Type | Organization
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Legal Business Name | GRIT CORE PHYSICAL THERAPY P.C.
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Dates
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Enumeration Date | 03/22/2024
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Last Update Date | 02/15/2026
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Provider Practice Location Address
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Address Line | 150 E 55TH ST FRNT 1
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City | NEW YORK
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State | NY
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Zip | 10022-4514
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Country | US
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Telephone | 201-815-3969
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Fax | 917-634-8851
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Provider Business Mailing Address
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Address Line | 251 W 74TH ST APT 7A
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City | NEW YORK
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State | NY
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Zip | 10023-2140
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Country | US
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Telephone | 201-815-3969
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SEONJOONG LEE
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Credential | DPT
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Telephone | 201-815-3969
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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 |
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Taxonomy #2
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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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