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General NPI Number Information
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NPI Number | 1508528928
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Entity Type | Organization
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Legal Business Name | THERATRIX NY PHYSICAL THERAPY
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Dates
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Enumeration Date | 10/13/2021
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 613 W 169TH ST
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City | NEW YORK
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State | NY
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Zip | 10032-2914
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Country | US
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Telephone | 848-565-4819
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Fax |
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Provider Business Mailing Address
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Address Line | 613 W 169TH ST
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City | NEW YORK
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State | NY
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Zip | 10032-2914
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Country | US
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Telephone | 848-565-4819
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JENNY DONG
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Credential |
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Telephone | 848-565-4819
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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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