Olga Valery Chaikovsky, MS | |
170 Oak Street, Ridgewood, NJ 07450 | |
(201) 925-0056 | |
Not Available |
Full Name | Olga Valery Chaikovsky |
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Gender | Female |
Speciality | Physical Therapist |
Location | 170 Oak Street, Ridgewood, 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 |
---|---|---|---|
1346462348 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 40QA00932000 (New Jersey) | Primary |
Provider Name | Genuine Rehabilitation Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1013302447 PECOS PAC ID: 6406175363 Enrollment ID: O20150428001009 |
Mailing Address | Practice Location Address |
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Olga Valery Chaikovsky, MS 170 Oak Street, Ridgewood, NJ 07450 Ph: () - | Olga Valery Chaikovsky, MS 170 Oak Street, Ridgewood, NJ 07450 Ph: (201) 925-0056 |
Genuine Rehabilitation Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 170 Oak Street, Ridgewood, NJ 07450 Phone: 201-925-0056 | |
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