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9 Summit Ave, Elmwood Park, NJ 07407-1529 | |
(201) 773-9700 | |
(201) 773-9701 |
Full Name | |
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Type | Facility |
Speciality | Physical Therapist |
Location | 9 Summit Ave, Elmwood Park, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417352832 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
171100000X | Acupuncturist | (* (Not Available)) | Secondary |
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Mark Szymczak |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1043376692 PECOS PAC ID: 8325229909 Enrollment ID: I20110302000562 |
Provider Name | Tina Danielle Vieitez |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1295452399 PECOS PAC ID: 4385012251 Enrollment ID: I20221128000032 |
Mailing Address | Practice Location Address |
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9 Summit Ave, Elmwood Park, NJ 07407-1529 Ph: (973) 420-8836 | 9 Summit Ave, Elmwood Park, NJ 07407-1529 Ph: (201) 773-9700 |