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General NPI Number Information
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NPI Number | 1861019978
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Entity Type | Organization
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Legal Business Name | TRIBECA PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 07/06/2020
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Last Update Date | 07/06/2020
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Provider Practice Location Address
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Address Line | 225 BROADWAY STE 2735
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City | NEW YORK
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State | NY
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Zip | 10007-3083
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Country | US
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Telephone | 212-406-8080
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Fax | 212-406-6550
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Provider Business Mailing Address
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Address Line | 225 BROADWAY STE 2735
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City | NEW YORK
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State | NY
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Zip | 10007-3083
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Country | US
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Telephone | 212-406-8080
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Fax | 212-406-6550
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Authorized Official
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Title or Position | PRESIDENT
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Name | KRISTIAN MARCIAL
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Credential | PT
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Telephone | 917-455-4433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic 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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