Kang Yeon, | |
2050 Center Ave, Fort Lee, NJ 07024-4996 | |
(201) 585-7300 | |
Not Available |
Full Name | Kang Yeon |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 2050 Center Ave, Fort Lee, 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 |
---|---|---|---|
1467270488 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 40AQ02288200 (New Jersey) | Primary |
Provider Name | Fort Lee Physical Therapy Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003050436 PECOS PAC ID: 4880747195 Enrollment ID: O20090804000725 |
Mailing Address | Practice Location Address |
---|---|
Kang Yeon, 39 E Harriet Ave, Palisades Pk, NJ 07650-1417 Ph: (551) 579-0817 | Kang Yeon, 2050 Center Ave, Fort Lee, NJ 07024-4996 Ph: (201) 585-7300 |
Fort Lee Physical Therapy, P.c. Physical Therapist Medicare: Medicare Enrolled Practice Location: 2050 Center Ave Ste 375, Fort Lee, NJ 07024 Phone: 201-694-5106 | |
Miss Gina Otilia Heredea, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6 Horizon Rd Apt 512, Fort Lee, NJ 07024 Phone: 551-221-0660 Fax: 201-224-3409 | |
Jennifer Soyoung Lee, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1608 Lemoine Ave Ste 202, Fort Lee, NJ 07024 Phone: 201-894-5452 Fax: 201-334-0068 | |
Gary Flink, M.S.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1355 15th St, Fort Lee, NJ 07024 Phone: 201-224-8717 Fax: 201-224-6381 | |
Jennifer Schaefer Hepsen, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1355 15th St, Fort Lee, NJ 07024 Phone: 201-224-8717 Fax: 201-224-6381 | |
Christopher Mueller, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1355 15th St, Fort Lee, NJ 07024 Phone: 201-224-8717 |