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General NPI Number Information
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NPI Number | 1972378230
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Entity Type | Organization
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Legal Business Name | REFLEX PHYSICAL THERAPY REHABILITATION PLLC
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Dates
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Enumeration Date | 11/16/2023
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Last Update Date | 11/16/2023
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Provider Practice Location Address
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Address Line | 320 W 30TH ST
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City | NEW YORK
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State | NY
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Zip | 10001-2710
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Country | US
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Telephone | 646-775-5923
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Fax |
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Provider Business Mailing Address
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Address Line | 320 W 30TH ST
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City | NEW YORK
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State | NY
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Zip | 10001-2710
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Country | US
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Telephone | 646-775-5923
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Fax |
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Authorized Official
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Title or Position | PT
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Name | OMAR ELGENDY
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Credential |
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Telephone | 646-775-5923
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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 |
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License Number State |
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