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General NPI Number Information
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NPI Number | 1538548722
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Entity Type | Organization
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Legal Business Name | PT HEALTH FIRST P.T PC
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Dates
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Enumeration Date | 05/21/2015
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Last Update Date | 05/21/2015
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Provider Practice Location Address
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Address Line | 1655 RICHMOND AVE LOWR LEVEL
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City | STATEN ISLAND
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State | NY
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Zip | 10314-1582
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Country | US
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Telephone | 347-603-3737
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Fax |
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Provider Business Mailing Address
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Address Line | 62 LONGDALE ST LOWR LEVEL
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City | STATEN ISLAND
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State | NY
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Zip | 10314-7242
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Country | US
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Telephone | 347-603-3737
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AHMED M HUSSEIN
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Credential | PT
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Telephone | 347-603-3737
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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 | 014894-1
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License Number State | NY
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