# PL PMR MEDICAL PC

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

## Provider details

- **NPI number:** 1316350481
- **Authorized official:** DR. LYUDMILA PORETSKAYA M.D. (PRESIDENT/ OWNER)
- **Authorized official phone:** (551) 574-2177

## Contact information

- **Practice address:** 1018 PALISADE AVE, SUITE 18, FORT LEE, NJ 07024-6300
- **Practice address phone:** (551) 574-2177
- **Mailing address:** 1018 PALISADE AVE, SUITE 18, FORT LEE, NJ 07024-6300
- **Mailing address phone:** (551) 574-2177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081N0008X | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | 25MA08695400 | NJ | Yes |

## Other

- **Enumeration date:** 06/06/2014
- **Last updated:** 06/06/2014