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General NPI Number Information
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NPI Number | 1578037008
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Entity Type | Organization
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Legal Business Name | SONIC REHAB LLC
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Dates
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Enumeration Date | 01/17/2019
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Last Update Date | 01/17/2019
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Provider Practice Location Address
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Address Line | 333 E 34TH ST UNIT 1E
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City | NEW YORK
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State | NY
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Zip | 10016-4977
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Country | US
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Telephone | 212-651-4380
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Fax | 212-651-4380
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Provider Business Mailing Address
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Address Line | 770 BRONX RIVER RD APT A41
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City | BRONXVILLE
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State | NY
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Zip | 10708-6902
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Country | US
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Telephone | 631-944-0235
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MARY CLAIRE ARBILO
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Credential | PHYSICAL THERAPIST
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Telephone | 212-651-4380
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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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