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General NPI Number Information
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NPI Number | 1508656141
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Entity Type | Organization
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Legal Business Name | NORTHERN MANHATTAN PT PLLC
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 651 W 180TH ST STE 2
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City | NEW YORK
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State | NY
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Zip | 10033-4802
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Country | US
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Telephone | 646-863-8353
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Fax |
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Provider Business Mailing Address
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Address Line | 411 GREENWOOD AVE UNIT 67
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City | WYCKOFF
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State | NJ
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Zip | 07481-3803
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. ADAM GAZDZINSKI
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Credential | DPT
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Telephone | 646-863-8353
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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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