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General NPI Number Information
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NPI Number | 1629258991
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Entity Type | Organization
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Legal Business Name | NEW YORK REHABILITATIVE SERVICES
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Dates
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Enumeration Date | 11/05/2007
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Last Update Date | 03/12/2018
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Provider Practice Location Address
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Address Line | 214 E SUNRISE HWY
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City | VALLEY STREAM
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State | NY
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Zip | 11581-1315
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Country | US
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Telephone | 516-239-0990
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Fax | 516-239-6555
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Provider Business Mailing Address
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Address Line | 214 E SUNRISE HWY
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City | VALLEY STREAM
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State | NY
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Zip | 11581-1315
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Country | US
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Telephone | 516-239-0990
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Fax | 516-239-6555
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL NADATA
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Credential |
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Telephone | 516-239-0990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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