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General NPI Number Information
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NPI Number | 1699711374
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Entity Type | Organization
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Legal Business Name | PALISADES REHABILITATION MEDICINE, P.C.
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 320 ROBINSON AVE 2ND FLLOR
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City | NEWBURGH
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State | NY
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Zip | 12550-3353
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Country | US
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Telephone | 845-863-1000
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Fax | 845-863-0100
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Provider Business Mailing Address
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Address Line | 14 DOESCHER AVE SUITE B
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City | WEST NYACK
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State | NY
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Zip | 10994-2631
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Country | US
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Telephone | 845-348-3290
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Fax | 845-348-3291
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT A. FLORIO
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Credential | M.D.
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Telephone | 845-863-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 214667
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License Number State | NY
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