Organization
ELITE SPINE AND SPORTS CARE OF FORT LEE PC
Active
Organization
ELITE SPINE AND SPORTS CARE OF FORT LEE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL HANNAWI DC (PRESIDENT)
(201) 592-0800
Entity
Organization
Contact information
Practice address
1622 PARKER AVE STE 2B, FORT LEE, NJ 07024-6927
(201) 592-0800
Mailing address
1622 PARKER AVE STE 2B, FORT LEE, NJ 07024-6927
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/26/2018
Last updated
12/28/2022
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