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General NPI Number Information
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NPI Number | 1801084314
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Entity Type | Organization
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Legal Business Name | ESSENTIAL CARE PHYSICAL THERAPY P.C
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Dates
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Enumeration Date | 10/10/2007
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Last Update Date | 09/12/2013
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Provider Practice Location Address
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Address Line | 6188 DRY HARBOR RD 5E
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City | MIDDLE VILLAGE
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State | NY
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Zip | 11379-1535
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Country | US
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Telephone | 718-424-5070
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Fax |
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Provider Business Mailing Address
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Address Line | 6188 DRY HARBOR RD 5E
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City | MIDDLE VILLAGE
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State | NY
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Zip | 11379-1535
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Country | US
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Telephone | 646-724-4459
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF PHYSICAL THERAPY
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Name | MOUSTAFA ABOUELELA
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Credential |
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Telephone | 646-724-4459
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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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