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General NPI Number Information
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NPI Number | 1700932944
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Entity Type | Organization
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Legal Business Name | GARDEN CITY PHYSICAL MEDICINE AND REHABILITATION, PC
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Dates
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Enumeration Date | 01/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 292A HERRICKS RD
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City | MINEOLA
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State | NY
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Zip | 11501-1119
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Country | US
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Telephone | 516-877-0011
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Fax |
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Provider Business Mailing Address
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Address Line | 292A HERRICKS RD
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City | MINEOLA
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State | NY
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Zip | 11501-1119
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Country | US
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Telephone | 516-877-0011
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Fax |
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Authorized Official
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Title or Position | PRES
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Name | DR. PHILIP BURNS
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Credential | D.O.
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Telephone | 516-877-0011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 38203
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License Number State | NY
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