Mary Albert Mallari Reyes, | |
16 N Washington Ave, Bergenfield, NJ 07621-2126 | |
(201) 387-8500 | |
Not Available |
Full Name | Mary Albert Mallari Reyes |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 16 N Washington Ave, Bergenfield, 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 |
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1295447480 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225X00000X | Occupational Therapist | 46TR0140600 (New Jersey) | Primary |
Provider Name | Link Home Services Of Nj Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972072585 PECOS PAC ID: 9133551765 Enrollment ID: O20191119002707 |
Mailing Address | Practice Location Address |
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Mary Albert Mallari Reyes, 120 Lake St, Jersey City, NJ 07306-3409 Ph: () - | Mary Albert Mallari Reyes, 16 N Washington Ave, Bergenfield, NJ 07621-2126 Ph: (201) 387-8500 |
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