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General NPI Number Information
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NPI Number | 1831464973
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Entity Type | Organization
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Legal Business Name | PROGRESSIVE MOVEMENT PHYSICAL THERAPY AND SPORTS REHAB PLLC
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Dates
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Enumeration Date | 03/21/2012
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Last Update Date | 04/12/2022
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Provider Practice Location Address
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Address Line | 74 E 79TH ST APT 1D
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City | NEW YORK
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State | NY
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Zip | 10075-0266
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Country | US
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Telephone | 212-774-1888
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Fax | 212-774-1889
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Provider Business Mailing Address
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Address Line | 74 E 79TH ST APT 1D
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City | NEW YORK
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State | NY
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Zip | 10075-0266
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Country | US
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Telephone | 212-774-1888
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Fax | 212-774-1889
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTOPHER MARGALLO
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Credential |
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Telephone | 212-774-1888
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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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