Prunela Rundlett, PHYSICAL THERAPIST | |
449 Palisade Ave, Apt.2, Cliffside Park, NJ 07010-2835 | |
(201) 366-4295 | |
Not Available |
Full Name | Prunela Rundlett |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 449 Palisade Ave, Cliffside Park, 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 |
---|---|---|---|
1225326937 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 033504-1 (New York) | Primary |
Provider Name | Union Community Health Center Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1437255155 PECOS PAC ID: 4486545266 Enrollment ID: O20040322001358 |
Mailing Address | Practice Location Address |
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Prunela Rundlett, PHYSICAL THERAPIST 449 Palisade Ave, Apt.2, Cliffside Park, NJ 07010-2835 Ph: (201) 366-4295 | Prunela Rundlett, PHYSICAL THERAPIST 449 Palisade Ave, Apt.2, Cliffside Park, NJ 07010-2835 Ph: (201) 366-4295 |
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