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General NPI Number Information
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NPI Number | 1801459060
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Entity Type | Organization
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Legal Business Name | HV REHAB PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 04/15/2019
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Last Update Date | 04/15/2019
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Provider Practice Location Address
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Address Line | 139 FULTON ST RM 136
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City | NEW YORK
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State | NY
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Zip | 10038-2538
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Country | US
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Telephone | 212-349-9500
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Fax |
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Provider Business Mailing Address
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Address Line | 107 ORMSBY AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10309-4040
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Country | US
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Telephone | 917-776-6079
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | MR. HANY MEKHAEL MEKHAEL
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Credential | DPT
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Telephone | 917-776-6079
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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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Taxonomy #2
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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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