Lusky Corp | |
1600 Parker Ave Ste 1, Fort Lee, NJ 07024-7050 | |
(201) 302-9993 | |
(201) 302-9994 |
Full Name | Lusky Corp |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 1600 Parker Ave Ste 1, 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 |
---|---|---|---|
1407441892 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Primary |
171100000X | Acupuncturist | (* (Not Available)) | Secondary |
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
Provider Name | Mika Ishitani |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1710962949 PECOS PAC ID: 0941257695 Enrollment ID: I20050405000487 |
Provider Name | Hoon Choi |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1033698220 PECOS PAC ID: 4688912462 Enrollment ID: I20190221000781 |
Provider Name | Roger Mitchell |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1326562034 PECOS PAC ID: 6103198692 Enrollment ID: I20190722003436 |
Mailing Address | Practice Location Address |
---|---|
Lusky Corp 1600 Parker Ave Ste 1, Fort Lee, NJ 07024-7050 Ph: (201) 302-9993 | Lusky Corp 1600 Parker Ave Ste 1, Fort Lee, NJ 07024-7050 Ph: (201) 302-9993 |
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