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General NPI Number Information
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NPI Number | 1538476585
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Entity Type | Organization
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Legal Business Name | INTEGRAL PHYSICAL THERAPY, PC
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Dates
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Enumeration Date | 09/10/2010
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Last Update Date | 09/10/2010
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Provider Practice Location Address
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Address Line | 225 W 23RD ST 6D
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City | NEW YORK
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State | NY
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Zip | 10011-2300
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Country | US
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Telephone | 917-345-6290
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Fax | 917-470-9962
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Provider Business Mailing Address
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Address Line | 225 W 23RD ST 6D
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City | NEW YORK
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State | NY
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Zip | 10011-2300
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Country | US
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Telephone | 917-345-6290
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Fax | 917-470-9962
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/PRESIDENT
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Name | GENEVIEVE DINSAY
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Credential | PHYSICAL THERAPIST
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Telephone | 917-345-6290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 022860-1
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License Number State | NY
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