Stride Home Health | |
180 Forest Ave Apt 206, Hawthorne, NJ 07506-2377 | |
(347) 229-5996 | |
Not Available |
Full Name | Stride Home Health |
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Type | Facility |
Speciality | Physical Therapist |
Location | 180 Forest Ave Apt 206, Hawthorne, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659987246 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Joseph Gendy |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1912301045 PECOS PAC ID: 0840412607 Enrollment ID: I20200618000009 |
Mailing Address | Practice Location Address |
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Stride Home Health 180 Forest Ave Apt 206, Hawthorne, NJ 07506-2377 Ph: () - | Stride Home Health 180 Forest Ave Apt 206, Hawthorne, NJ 07506-2377 Ph: (347) 229-5996 |
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