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General NPI Number Information
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NPI Number | 1588366678
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Entity Type | Organization
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Legal Business Name | JONATHAN AMATO PT PLLC
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Dates
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Enumeration Date | 03/21/2023
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Last Update Date | 03/21/2023
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Provider Practice Location Address
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Address Line | 1242 MONTAUK HWY
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City | OAKDALE
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State | NY
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Zip | 11769-1435
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Country | US
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Telephone | 631-626-6578
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Fax | 631-909-2938
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Provider Business Mailing Address
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Address Line | 1242 MONTAUK HWY
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City | OAKDALE
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State | NY
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Zip | 11769-1435
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Country | US
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Telephone | 631-626-6578
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Fax | 631-909-2938
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Authorized Official
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Title or Position | OWNER/HEAD THERAPIST
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Name | DR. JONATHAN AMATO
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Credential | PT, DPT, OCS, CSCS
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Telephone | 631-626-6578
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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 |
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License Number State |
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