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General NPI Number Information
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NPI Number | 1881086387
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Entity Type | Organization
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Legal Business Name | MICHAEL SANTO DPT PC
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Dates
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Enumeration Date | 02/21/2015
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Last Update Date | 02/21/2015
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Provider Practice Location Address
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Address Line | 53 N PARK AVE 104A
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-4100
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Country | US
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Telephone | 516-660-4942
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Fax | 516-544-4322
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Provider Business Mailing Address
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Address Line | 53 N PARK AVE 104A
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-4100
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Country | US
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Telephone | 516-660-4942
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Fax | 516-544-4322
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | DR. MICHAEL SANTO
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Credential | PT DPT
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Telephone | 516-680-9786
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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 | 033999
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License Number State | NY
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