Organization
PLATINUM PHYSIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINA HENRIQUEZ (DIRECTOR OF OPERATIONS)
(718) 362-8182
Entity
Organization
Contact information
Practice address
75 DUDLEY DR, BERGENFIELD, NJ 07621-2613
(718) 362-8182
(718) 414-1651
Mailing address
75 DUDLEY DR, BERGENFIELD, NJ 07621-2613
(718) 362-8182
(718) 414-1651
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/01/2022
Last updated
02/06/2025
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