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General NPI Number Information
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NPI Number | 1609677186
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Entity Type | Individual
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Provider Name | BRENNAN GARBER PT
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Gender | Male
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Dates
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Enumeration Date | 03/21/2025
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 180 FORT WASHINGTON AVE STE 170E
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City | NEW YORK
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State | NY
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Zip | 10032-3722
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Country | US
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Telephone | 212-305-2720
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Fax |
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Provider Business Mailing Address
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Address Line | 142 GRAHAM AVE APT 5B
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City | BROOKLYN
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State | NY
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Zip | 11206-2897
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Country | US
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Telephone | 267-401-8294
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 050574
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License Number State | NY
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