Sharbel Boustani, | |
411 Hackensack Ave, Hackensack, NJ 07601-6328 | |
(732) 802-7512 | |
Not Available |
Full Name | Sharbel Boustani |
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Gender | Male |
Speciality | Occupational Therapist |
Location | 411 Hackensack Ave, Hackensack, 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 |
---|---|---|---|
1184308769 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 46TR01105200 (New Jersey) | Primary |
Provider Name | At Home By Enhance Therapies Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1124603246 PECOS PAC ID: 4183033210 Enrollment ID: O20210503001929 |
Mailing Address | Practice Location Address |
---|---|
Sharbel Boustani, 43 Daisy Dr, Egg Harbor Township, NJ 08234-6119 Ph: (201) 937-3574 | Sharbel Boustani, 411 Hackensack Ave, Hackensack, NJ 07601-6328 Ph: (732) 802-7512 |
Douglas Tyler Fabrizio, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 40 Zabriskie St Apt 3j, Hackensack, NJ 07601 Phone: 201-394-2379 | |
Ms. Sara Silverstein, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-5516 | |
Ms. Shilpa Santosh Dewoolkar, OTRL CHT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 155 Polifly Rd, Suite 104, Hackensack, NJ 07601 Phone: 201-343-3644 Fax: 201-343-1770 | |
Mrs. Sally P Gillenson, MBA MS OTR CHT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 385 Prospect Ave, Hackensack, NJ 07601 Phone: 201-343-5470 Fax: 201-343-5931 | |
Mr. Cesar Valente Garduque Jr., OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 54 Polifly Rd Apt 311, Hackensack, NJ 07601 Phone: 646-206-1025 Fax: 201-880-0614 | |
Jung Hee Kim, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 260 Prospect Ave, 366, Hackensack, NJ 07601 Phone: 973-747-8423 |