Yev Fedosenko, DPT | |
300 Winston Dr, #2407, Cliffside Park, NJ 07010-3236 | |
(617) 620-2137 | |
Not Available |
Full Name | Yev Fedosenko |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 24 Years |
Location | 300 Winston Dr, Cliffside Park, New Jersey |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922290535 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 40QA01242600 (New Jersey) | Primary |
Provider Name | Proadvantage Physical Therapy Incorporated |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003064452 PECOS PAC ID: 9436215779 Enrollment ID: O20090311000463 |
Mailing Address | Practice Location Address |
---|---|
Yev Fedosenko, DPT 300 Winston Dr, #2407, Cliffside Park, NJ 07010-3236 Ph: (617) 620-2137 | Yev Fedosenko, DPT 300 Winston Dr, #2407, Cliffside Park, NJ 07010-3236 Ph: (617) 620-2137 |
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