Criselda Pineda, PT | |
94 West Oldis Street, Rochelle Park, NJ 07662 | |
(917) 618-9881 | |
Not Available |
Full Name | Criselda Pineda |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 24 Years |
Location | 94 West Oldis Street, Rochelle Park, New Jersey |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023386869 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 033693-1 (New York) | Secondary |
225100000X | Physical Therapist | 40QA01487400 (New Jersey) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sportsmed Pt Llc | 0749535805 | 169 |
Provider Name | Sportsmed Pt Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1841787645 PECOS PAC ID: 0749535805 Enrollment ID: O20180614001056 |
Mailing Address | Practice Location Address |
---|---|
Criselda Pineda, PT 94 W Oldis St, Rochelle Park, NJ 07662-3713 Ph: (917) 618-9881 | Criselda Pineda, PT 94 West Oldis Street, Rochelle Park, NJ 07662 Ph: (917) 618-9881 |
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