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General NPI Number Information
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NPI Number | 1760719520
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Entity Type | Organization
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Legal Business Name | SIGAL PHYSICAL THERAPY, P.C.
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Dates
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Enumeration Date | 11/14/2009
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Last Update Date | 03/20/2023
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Provider Practice Location Address
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Address Line | 2116 AVENUE P
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City | BROOKLYN
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State | NY
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Zip | 11229-1507
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Country | US
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Telephone | 718-338-6655
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Fax |
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Provider Business Mailing Address
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Address Line | 82 OCEAN AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10305-4710
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Country | US
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Telephone | 646-415-2548
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LEONID SIGAL
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Credential | PHYSICAL THERAPIST
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Telephone | 646-415-2548
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 031781
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License Number State | NY
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