Mr Eric Tabachnik Acevedo, | |
2-22 Banta Pl, Fair Lawn, NJ 07410-3058 | |
(201) 509-8600 | |
Not Available |
Full Name | Mr Eric Tabachnik Acevedo |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 2-22 Banta Pl, Fair Lawn, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023857752 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 38MC00805400 (New Jersey) | Primary |
Provider Name | All Be Healthy Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1275286148 PECOS PAC ID: 1951796622 Enrollment ID: O20220316001364 |
Mailing Address | Practice Location Address |
---|---|
Mr Eric Tabachnik Acevedo, 2-22 Banta Pl, Fair Lawn, NJ 07410-3058 Ph: (201) 509-8600 | Mr Eric Tabachnik Acevedo, 2-22 Banta Pl, Fair Lawn, NJ 07410-3058 Ph: (201) 509-8600 |
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