Organization
NORTHEASTERN SPINE & PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT CAVALLARO (OWNER)
(845) 699-2342
Entity
Organization
Contact information
Practice address
3621 ROUTE 94, UNIT#2, HAMBURG, NJ 07419-9651
(973) 864-8997
Mailing address
3621 ROUTE 94, UNIT#2, HAMBURG, NJ 07419-9651
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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