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General NPI Number Information
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NPI Number | 1538598073
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Entity Type | Organization
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Legal Business Name | ZEBE PHYSICAL THERAPY, PC
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Dates
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Enumeration Date | 11/05/2013
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Last Update Date | 11/05/2013
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Provider Practice Location Address
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Address Line | 2 GRASMERE AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10304-4508
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Country | US
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Telephone | 917-957-4360
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Fax | 347-695-1117
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Provider Business Mailing Address
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Address Line | 2 GRASMERE AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10304-4508
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Country | US
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Telephone | 917-957-4360
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Fax | 347-695-1117
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | ZBIGNIEW MATYNIA
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Credential | PT
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Telephone | 917-957-4360
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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 | 018718
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License Number State | NY
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