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General NPI Number Information
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NPI Number | 1851571160
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Entity Type | Organization
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Legal Business Name | HEALTH QUEST PHYSICAL THERAPY, P.C.
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Dates
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Enumeration Date | 11/05/2007
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Last Update Date | 12/11/2019
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Provider Practice Location Address
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Address Line | 6405 YELLOWSTONE BLVD APT 101
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City | FOREST HILLS
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State | NY
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Zip | 11375-1534
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Country | US
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Telephone | 718-606-1911
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Fax | 718-709-4166
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Provider Business Mailing Address
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Address Line | 11027 70TH RD
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City | FOREST HILLS
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State | NY
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Zip | 11375-3933
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Country | US
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Telephone | 718-606-1911
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Fax | 718-709-4166
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Authorized Official
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Title or Position | PRESIDENT
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Name | BORIS I PALTIELOV
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Credential | PT
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Telephone | 718-606-1911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 020951
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License Number State | NY
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