Mrs Lidia Libura-kus, PT | |
542 Lloyd St, Ridgefield, NJ 07657-1817 | |
(516) 851-2602 | |
Not Available |
Full Name | Mrs Lidia Libura-kus |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 542 Lloyd St, Ridgefield, 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 |
---|---|---|---|
1922246081 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 026040 (New York) | Primary |
Provider Name | Jawonio Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1417235946 PECOS PAC ID: 8628227683 Enrollment ID: O20130109000779 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lidia Libura-kus, PT 542 Lloyd St, Ridgefield, NJ 07657-1817 Ph: (516) 851-2602 | Mrs Lidia Libura-kus, PT 542 Lloyd St, Ridgefield, NJ 07657-1817 Ph: (516) 851-2602 |
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