# INJURY CARE CENTER OF KEARNY

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

## Provider details

- **NPI number:** 1225766603
- **Authorized official:** FERNANDO BARRESE DC (OWNER)
- **Authorized official phone:** (973) 349-3350

## Contact information

- **Practice address:** 715 KEARNY AVE, KEARNY, NJ 07032-3005
- **Practice address phone:** (973) 349-3350
- **Practice address fax:** (973) 349-3351
- **Mailing address:** 715 KEARNY AVE, KEARNY, NJ 07032-3005
- **Mailing address phone:** (973) 349-3350
- **Mailing address fax:** (973) 349-3351

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | Yes |
| 111N00000X | Chiropractor | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 08/12/2022
- **Last updated:** 08/12/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | MC05963 | STATE LICENSE | NJ |