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General NPI Number Information
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NPI Number | 1700166279
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Entity Type | Organization
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Legal Business Name | BE FIT PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 08/28/2011
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Last Update Date | 06/22/2021
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Provider Practice Location Address
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Address Line | 405 MAIN ST STE 6
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City | PORT WASHINGTON
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State | NY
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Zip | 11050-3135
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Country | US
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Telephone | 212-256-0445
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Fax | 212-510-8018
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Provider Business Mailing Address
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Address Line | 405 MAIN ST STE 6
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City | PORT WASHINGTON
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State | NY
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Zip | 11050-3135
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Country | US
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Telephone | 212-256-0445
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Fax | 212-510-8018
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | DR. ERICA ZIMMERMAN AITKEN
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Credential | DPT, SCS, ATC, CSCS
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Telephone | 212-256-0445
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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 | 027800
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License Number State | NY
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