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General NPI Number Information
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NPI Number | 1568087856
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Entity Type | Organization
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Legal Business Name | SEGELOV PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 06/11/2020
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Last Update Date | 06/11/2020
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Provider Practice Location Address
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Address Line | 32 UNION SQ E STE 411
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City | NEW YORK
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State | NY
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Zip | 10003-3245
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Country | US
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Telephone | 646-505-9545
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Fax | 646-585-9383
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Provider Business Mailing Address
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Address Line | 244 5TH AVE STE L289
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City | NEW YORK
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State | NY
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Zip | 10001-7604
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Country | US
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Telephone | 646-505-9545
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Fax | 646-585-9383
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Authorized Official
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Title or Position | OWNER / PHYSICAL THERAPIST
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Name | LEAH SEGELOV
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Credential | P.T
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Telephone | 646-505-9545
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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 |
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License Number State |
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