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General NPI Number Information
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NPI Number | 1558788349
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Entity Type | Organization
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Legal Business Name | NEW YORK CARE PHYSICAL THERAPY, PC
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Dates
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Enumeration Date | 03/18/2014
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Last Update Date | 11/05/2014
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Provider Practice Location Address
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Address Line | 4820 39TH ST
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City | SUNNYSIDE
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State | NY
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Zip | 11104-4514
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Country | US
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Telephone | 917-520-1444
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Fax | 718-835-5505
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Provider Business Mailing Address
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Address Line | 4820 39TH ST
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City | SUNNYSIDE
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State | NY
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Zip | 11104-4514
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Country | US
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Telephone | 917-520-1444
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Fax | 718-835-5505
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MATIAS ARCHIVALD GO PLOPINIO
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Credential |
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Telephone | 917-520-1444
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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 | 030859-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 030859-1
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License Number State | NY
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