Individual
AVIGAYIL NOVOGRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
171 LAKE ST, RAMSEY, NJ 07446-2089
(201) 327-1990
Mailing address
171 LAKE ST, RAMSEY, NJ 07446-2089
(201) 327-1990
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
046554
NY
225100000X
Physical Therapist
40QA01944300
NJ
Other
Enumeration date
09/03/2020
Last updated
11/18/2020
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