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General NPI Number Information
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NPI Number | 1508886896
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Entity Type | Organization
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Legal Business Name | ADVANCED REHAB MEDICAL SERVICES, P.C.
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 04/09/2008
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Provider Practice Location Address
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Address Line | 1247 SUFFOLK AVE SUITE 4
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City | BRENTWOOD
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State | NY
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Zip | 11717-4518
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Country | US
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Telephone | 718-265-9914
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Fax | 718-265-9219
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Provider Business Mailing Address
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Address Line | PO BOX 195
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City | ROSLYN HEIGHTS
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State | NY
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Zip | 11577-0195
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Country | US
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Telephone | 718-265-9914
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Fax | 516-625-5553
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEAN FUTORAN
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Credential | M.D.
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Telephone | 718-926-2223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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