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Organization
MEDICAL REHABILITATION, PC
Active
Organization
MEDICAL REHABILITATION, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NIKOLAI PUSHNYA MS PT (PHYSICAL THERAPIST)
(201) 265-5000
Entity
Organization
Contact information
Practice address
340 EVELYN ST, 2 FLOOR, PARAMUS, NJ 07652-2908
(201) 265-5000
(201) 265-5003
Mailing address
340 EVELYN ST, 2 FLOOR, PARAMUS, NJ 07652-2908
(201) 265-5000
(201) 265-5003
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00873600
NJ
Other
Enumeration date
09/12/2007
Last updated
09/12/2007
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