Individual
MICHELE EMILY CARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
17 ELM AVE, HACKENSACK, NJ 07601-4702
(201) 968-0508
(201) 968-0509
Mailing address
17 ELM AVE, HACKENSACK, NJ 07601
(201) 968-0508
(201) 968-0509
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
022150-1
NY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
40QA01445600
NJ
225100000X
Physical Therapist
40QA01445600
NJ
Other
Enumeration date
06/03/2006
Last updated
05/08/2023
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