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General NPI Number Information
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NPI Number | 1912417536
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Entity Type | Organization
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Legal Business Name | BODYMIND FLOAT CENTER SYRACUSE LLC
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Dates
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Enumeration Date | 10/10/2017
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 2949 ERIE BLVD E STE 101
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City | SYRACUSE
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State | NY
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Zip | 13224-1447
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Country | US
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Telephone | 315-992-8656
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Fax |
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Provider Business Mailing Address
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Address Line | 378 ROCKINGHAM ST
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City | ROCHESTER
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State | NY
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Zip | 14620-2516
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Country | US
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Telephone | 585-797-3733
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MR. DAVID BRICKMAN
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Credential |
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Telephone | 585-797-3733
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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