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General NPI Number Information
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NPI Number | 1700330248
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Entity Type | Organization
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Legal Business Name | CHILESKY HOME CARE PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 08/13/2016
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Last Update Date | 09/20/2016
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Provider Practice Location Address
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Address Line | 201 E 66TH ST APT 6P
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City | NEW YORK
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State | NY
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Zip | 10065-6455
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Country | US
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Telephone | 516-776-5342
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Fax |
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Provider Business Mailing Address
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Address Line | 201 E 66TH ST APT 6P
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City | NEW YORK
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State | NY
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Zip | 10065-6455
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | DR. JUSTIN CHILESKY
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Credential | DPT
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Telephone | 516-776-5342
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 033985-1
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License Number State | NY
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