Saul Nolazco, DPT | |
1 Towne Ctr Apt 1007, Cliffside Park, NJ 07010-2056 | |
(201) 988-0796 | |
Not Available |
Full Name | Saul Nolazco |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1 Towne Ctr Apt 1007, 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 |
---|---|---|---|
1609639517 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 40QA02241200 (New Jersey) | Primary |
Provider Name | Ivyrehab Network Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1861623753 PECOS PAC ID: 3476539776 Enrollment ID: O20040628000865 |
Mailing Address | Practice Location Address |
---|---|
Saul Nolazco, DPT 1 Towne Ctr Apt 1007, Cliffside Park, NJ 07010-2056 Ph: (201) 840-4063 | Saul Nolazco, DPT 1 Towne Ctr Apt 1007, Cliffside Park, NJ 07010-2056 Ph: (201) 988-0796 |
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