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General NPI Number Information
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NPI Number | 1790994002
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Entity Type | Organization
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Legal Business Name | GCZ R P T PC DBA GRAMERCY PARK PHYSICAL THERAPY ASSOC
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 380 2ND AVE SUITE 301
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City | NEW YORK
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State | NY
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Zip | 10010-5615
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Country | US
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Telephone | 917-591-2660
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Fax |
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Provider Business Mailing Address
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Address Line | 380 SECOND AVENUE SUITE 301
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City | NEW YORK
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State | NY
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Zip | 10010
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Country | US
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Telephone | 917-591-2660
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. BETTY QUILES
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Credential |
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Telephone | 212-777-2527
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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 |
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License Number State |
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