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General NPI Number Information
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NPI Number | 1699119347
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Entity Type | Organization
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Legal Business Name | REHAB PARTNERS PT PC
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Dates
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Enumeration Date | 04/24/2013
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Last Update Date | 06/06/2023
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Provider Practice Location Address
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Address Line | 6009 MYRTLE AVE
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City | RIDGEWOOD
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State | NY
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Zip | 11385-5933
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Country | US
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Telephone | 347-472-1834
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Fax | 347-472-1838
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Provider Business Mailing Address
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Address Line | 927 FULTON ST
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City | FARMINGDALE
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State | NY
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Zip | 11735-4206
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Country | US
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Telephone | 646-863-8353
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Fax | 201-509-4322
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ADAM GAZDZINSKI
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Credential | DPT, ECS, OCS
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Telephone | 646-863-8353
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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 | NY
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