Individual
MR. AZRIEL YACOV NOVOGRODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1033 RIVER RD, SUITE C, NEW MILFORD, NJ 07646-3119
(201) 836-6250
(201) 836-6251
Mailing address
782 DEARBORN ST, TEANECK, NJ 07666-2217
(201) 836-6250
(201) 836-6251
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40-QA00950000
NJ
2251P0200X
Pediatric Physical Therapist
Primary
40-QA00950000
NJ
Other
Enumeration date
03/03/2008
Last updated
03/03/2008
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