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General NPI Number Information
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NPI Number | 1689908907
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Entity Type | Individual
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Provider Name | MAY PEGOLLO PENALBA PT
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Gender | Female
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Dates
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Enumeration Date | 09/21/2009
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 156 WILLIAM ST
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City | NEW YORK
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State | NY
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Zip | 10038-2609
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Country | US
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Telephone | 646-858-0138
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Fax | 646-858-0196
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Provider Business Mailing Address
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Address Line | 53 HAZEN CT APT A
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City | WAYNE
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State | NJ
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Zip | 07470-3214
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Country | US
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Telephone | 516-477-4471
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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 | 030948-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 030948-1
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License Number State | NY
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