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General NPI Number Information
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NPI Number | 1639487325
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Entity Type | Organization
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Legal Business Name | NEW YORK THERAPY RESOURCES OT, PT & ST PLLC
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Dates
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Enumeration Date | 09/16/2010
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Last Update Date | 09/16/2010
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Provider Practice Location Address
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Address Line | 474 MYRTLE AVE
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City | BROOKLYN
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State | NY
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Zip | 11205-2679
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Country | US
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Telephone | 718-388-0066
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Fax | 718-940-7680
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Provider Business Mailing Address
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Address Line | 474 MYRTLE AVE
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City | BROOKLYN
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State | NY
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Zip | 11205-2679
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Country | US
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Telephone | 718-388-0066
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Fax | 718-940-7680
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. DANIELLE ANGELIQUE BROWN
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Credential | OTR/L
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Telephone | 718-388-0066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | 012371
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License Number State | NY
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