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General NPI Number Information
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NPI Number | 1841403938
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Entity Type | Individual
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Provider Name | EMMYLOU BRIONES CUEVAS P.T.
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Gender | Female
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 150-12 14TH AVENUE
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City | WHITESTONE
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State | NY
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Zip | 11357
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Country | US
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Telephone | 718-746-8757
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Fax | 718-746-3069
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Provider Business Mailing Address
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Address Line | 2128 HAIGHT AVENUE APT. 2
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City | BRONX
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State | NY
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Zip | 10461
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Country | US
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Telephone | 646-267-7598
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Fax | 718-944-6266
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 025549
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License Number State | NY
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