Robert Greenwald, | |
85 S Maple Ave Ste 1, Ridgewood, NJ 07450-4500 | |
(201) 857-5396 | |
(201) 857-5398 |
Full Name | Robert Greenwald |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 85 S Maple Ave Ste 1, 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 |
---|---|---|---|
1225746050 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 40QA02136200 (New Jersey) | Primary |
Provider Name | Professional Occupational & Physical Therapy Pllc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1215487772 PECOS PAC ID: 3779873401 Enrollment ID: O20170118000654 |
Mailing Address | Practice Location Address |
---|---|
Robert Greenwald, 576 Broadhollow Rd, Melville, NY 11747-5002 Ph: (631) 359-5859 | Robert Greenwald, 85 S Maple Ave Ste 1, Ridgewood, NJ 07450-4500 Ph: (201) 857-5396 |
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Ammar Mustafa, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 85 S Maple Ave, Ridgewood, NJ 07450 Phone: 551-857-5396 | |
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