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General NPI Number Information
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NPI Number | 1922046655
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Entity Type | Organization
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Legal Business Name | HANDS-ON PHYSICAL THERAPY OF BAYSIDE PC
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 07/23/2013
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Provider Practice Location Address
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Address Line | 20801 NORTHERN BLVD FL 3
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City | BAYSIDE
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State | NY
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Zip | 11361-3151
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Country | US
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Telephone | 718-707-6970
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Fax | 718-707-6977
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Provider Business Mailing Address
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Address Line | 3270 31ST ST
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City | ASTORIA
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State | NY
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Zip | 11106-2643
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Country | US
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Telephone | 718-707-6970
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Fax | 718-707-6977
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Authorized Official
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Title or Position | CO-OWNER
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Name | MR. KONSTANTINE RIZOPOULOS
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Credential | PT
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Telephone | 718-626-2699
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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 | 011188
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License Number State | NY
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