| Prime Total Pain Clinic Pc | |
|
118 Broad Ave Ste 10, Palisades Park, NJ 07650-2717 | |
| (201) 313-1122 | |
| (201) 941-1157 |
| Full Name | Prime Total Pain Clinic Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 118 Broad Ave Ste 10, Palisades 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 |
|---|---|---|---|
| 1154859122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 38MC00671900 (New Jersey) | Primary |
| Provider Name | Hyeo Young Park |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598953341 PECOS PAC ID: 6507812617 Enrollment ID: I20050322000871 |
| Provider Name | Ryan S Lee |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1942432554 PECOS PAC ID: 8022148071 Enrollment ID: I20100617000555 |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Total Pain Clinic Pc 118 Broad Ave., Suite 10, Palisades Park, NJ 07650 Ph: (201) 313-1122 | Prime Total Pain Clinic Pc 118 Broad Ave Ste 10, Palisades Park, NJ 07650-2717 Ph: (201) 313-1122 |
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Joseph Sungjae Park, Chiropractor Medicare: Medicare Enrolled Practice Location: 17 Brinkerhoff Ter # 202, Palisades Park, NJ 07650 Phone: 201-313-1212 | |
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Prime Spinecare Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 118 Broad Ave Ste N9, Palisades Park, NJ 07650 Phone: 201-482-0439 Fax: 201-482-8703 | |
Sungsik Kim, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 21 Grand Ave Ste 516, Palisades Park, NJ 07650 Phone: 201-313-0313 | |
Dr. Charles Ryu, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 110 Roff Ave Unit A, Palisades Park, NJ 07650 Phone: 201-450-1170 |