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General NPI Number Information
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NPI Number | 1982779377
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Entity Type | Organization
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Legal Business Name | QUEENS PHYSICAL THERAPY, P.C.
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 11/10/2011
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Provider Practice Location Address
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Address Line | 13215A 14TH AVE
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City | COLLEGE POINT
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State | NY
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Zip | 11356-2001
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Country | US
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Telephone | 718-352-5200
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Fax | 718-352-0105
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Provider Business Mailing Address
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Address Line | 13215A 14TH AVE
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City | COLLEGE POINT
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State | NY
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Zip | 11356-2001
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Country | US
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Telephone | 718-352-5200
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Fax | 718-352-0105
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Authorized Official
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Title or Position | PRESIDENT
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Name | HARVEY NGITNGIT
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Credential | M.S.P.T.
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Telephone | 718-352-5200
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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 | 022357-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 015515-1
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License Number State | NY
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