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General NPI Number Information
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NPI Number | 1598679128
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Entity Type | Organization
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Legal Business Name | HEALTHY CORE PT PC
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Dates
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Enumeration Date | 09/30/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 4645 WHITE PLAINS RD
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City | BRONX
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State | NY
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Zip | 10470-1612
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Country | US
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Telephone | 718-231-7970
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Fax |
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Provider Business Mailing Address
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Address Line | POBOX 61267
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City | STATEN ISLAND
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State | NY
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Zip | 10306-9997
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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 | PRESIDENT
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Name | MAHMOUD SOLOMA
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Credential | DPT
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Telephone | 929-502-8523
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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 | NULL
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