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General NPI Number Information
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NPI Number | 1578803466
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Entity Type | Organization
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Legal Business Name | METRO THERAPY INC
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Dates
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Enumeration Date | 02/28/2013
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 17 CHESHIRE PL
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City | EAST NORTHPORT
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State | NY
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Zip | 11731-2502
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Country | US
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Telephone | 631-678-5713
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Fax |
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Provider Business Mailing Address
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Address Line | 17 CHESHIRE PL
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City | EAST NORTHPORT
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State | NY
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Zip | 11731-2502
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SPECIAL EDUCATION TEACHER
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Name | ALYSON CRONIN
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Credential |
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Telephone | 631-678-5713
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | X
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License Number State | NY
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