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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