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General NPI Number Information
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NPI Number | 1740291723
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Entity Type | Organization
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Legal Business Name | REHABILITATION MEDICINE CONSULTANTS OF NY PLLC
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 03/28/2008
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Provider Practice Location Address
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Address Line | 2475 SAINT RAYMONDS AVE 5TH FLOOR
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City | BRONX
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State | NY
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Zip | 10461-3124
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Country | US
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Telephone | 718-239-5402
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Fax | 718-430-7385
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Provider Business Mailing Address
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Address Line | 18436 HOVENDON RD
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City | JAMAICA
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State | NY
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Zip | 11432-2424
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Country | US
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Telephone | 718-239-5402
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Fax | 718-430-7385
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. MARIA ANGELINA JOUVIN CASTRO
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Credential | M.D.
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Telephone | 718-239-5402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 216861
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License Number State | NY
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