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General NPI Number Information
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NPI Number | 1720890205
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Entity Type | Organization
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Legal Business Name | VIGOR REHAB PT, P.C.
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Dates
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Enumeration Date | 01/22/2025
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 18818 LINDEN BLVD
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City | SAINT ALBANS
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State | NY
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Zip | 11412-4028
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Country | US
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Telephone | 718-709-4542
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Fax | 347-534-2180
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Provider Business Mailing Address
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Address Line | 2064 CENTRAL DR N
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City | EAST MEADOW
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State | NY
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Zip | 11554-5114
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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 | OWNER
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Name | MUHAMMAD USMAN
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Credential |
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Telephone | 646-474-3500
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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 |
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