Editha Victoria, PT | |
49 Somers Ave, Bergenfield, NJ 07621-2607 | |
(917) 459-8033 | |
(201) 244-6632 |
Full Name | Editha Victoria |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 28 Years |
Location | 49 Somers Ave, Bergenfield, 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 |
---|---|---|---|
1598903841 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251P0200X | Physical Therapist - Pediatrics | 018435 (New York) | 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 |
---|---|
Editha Victoria, PT 49 Somers Ave, Bergenfield, NJ 07621-2607 Ph: (917) 459-8033 | Editha Victoria, PT 49 Somers Ave, Bergenfield, NJ 07621-2607 Ph: (917) 459-8033 |
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