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General NPI Number Information
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NPI Number | 1548713431
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Entity Type | Organization
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Legal Business Name | CARE 4U PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 07/27/2016
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Last Update Date | 08/22/2019
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Provider Practice Location Address
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Address Line | 2016 GRAND AVE
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City | NORTH BALDWIN
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State | NY
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Zip | 11510-2811
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Country | US
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Telephone | 516-623-2277
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Fax |
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Provider Business Mailing Address
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Address Line | 2016 GRAND AVE
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City | NORTH BALDWIN
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State | NY
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Zip | 11510-2811
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Country | US
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Telephone | 516-623-2277
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | YOUNG S PARK
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Credential |
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Telephone | 516-623-2277
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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 | 017070
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License Number State | NY
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