Elite Spine And Sports Care Of Fort Lee Pc | |
1622 Parker Ave Ste 2b, Fort Lee, NJ 07024-6927 | |
(201) 592-0800 | |
Not Available |
Full Name | Elite Spine And Sports Care Of Fort Lee Pc |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 1622 Parker Ave Ste 2b, Fort Lee, 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 |
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1508336298 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Provider Name | Gabriel Hannawi |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1013332055 PECOS PAC ID: 8628201886 Enrollment ID: I20140424000689 |
Provider Name | Michael J Yarish |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1821567553 PECOS PAC ID: 2365780699 Enrollment ID: I20190227000041 |
Provider Name | John Mathai |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1407487051 PECOS PAC ID: 3779910112 Enrollment ID: I20200225002341 |
Provider Name | Joseph M Cangialosi |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1861148686 PECOS PAC ID: 1254726037 Enrollment ID: I20220314000641 |
Provider Name | Carmen Guarino |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1467038679 PECOS PAC ID: 5991150609 Enrollment ID: I20231016003705 |
Mailing Address | Practice Location Address |
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Elite Spine And Sports Care Of Fort Lee Pc 1622 Parker Ave Ste 2b, Fort Lee, NJ 07024-6927 Ph: () - | Elite Spine And Sports Care Of Fort Lee Pc 1622 Parker Ave Ste 2b, Fort Lee, NJ 07024-6927 Ph: (201) 592-0800 |