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General NPI Number Information
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NPI Number | 1558519967
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Entity Type | Organization
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Legal Business Name | FULTON PHYSICAL MEDICINE & REHABILITATION PC
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Dates
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Enumeration Date | 08/28/2008
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Last Update Date | 03/12/2009
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Provider Practice Location Address
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Address Line | 122 FULTON ST 6TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10038-2717
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Country | US
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Telephone | 212-962-2262
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Fax | 212-962-7472
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Provider Business Mailing Address
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Address Line | 122 FULTON ST 6TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10038-2717
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Country | US
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Telephone | 212-962-2262
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Fax | 212-962-7472
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROMAN SORIN
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Credential | M.D
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Telephone | 212-962-2262
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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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