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General NPI Number Information
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NPI Number | 1952523359
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Entity Type | Organization
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Legal Business Name | ROBERT CASTORINA PHYSICAL THERAPIST, PC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 11/19/2013
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Provider Practice Location Address
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Address Line | 861 BEDFORD ROAD GOLDSTEIN HEALTH CENTER SUITE 124
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City | PLEASANTVILLE
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State | NY
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Zip | 10570-2724
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Country | US
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Telephone | 914-747-1112
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Fax | 914-747-1114
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Provider Business Mailing Address
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Address Line | 861 BEDFORD ROAD GOLDSTEIN HEALTH CENTER SUITE 124
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City | PLEASANTVILLE
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State | NY
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Zip | 10570-2724
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Country | US
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Telephone | 914-747-1112
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Fax | 914-747-1114
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Authorized Official
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Title or Position | OWNER, DIRECTOR
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Name | MR. ROBERT CASTORINA
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Credential | PT, DPT, MS, ATC
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Telephone | 914-747-1112
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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 | 018508
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License Number State | NY
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