# PT MEDICAL CENTER, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205863883
- **Authorized official:** ANDREI LOGVINENKO MD (PRESIDENT)
- **Authorized official phone:** (201) 797-2050

## Contact information

- **Practice address:** 333 SYLVAN AVE STE 111, ENGLEWOOD CLIFFS, NJ 07632-2705
- **Practice address phone:** (201) 568-8500
- **Practice address fax:** (201) 568-8518
- **Mailing address:** 333 SYLVAN AVE STE 111, ENGLEWOOD CLIFFS, NJ 07632-2705
- **Mailing address phone:** (201) 797-2050
- **Mailing address fax:** (201) 797-2052

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |

## Other

- **Enumeration date:** 06/27/2006
- **Last updated:** 05/19/2009