Organization
FALL PREVENTION AND REHABILITATION, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE DUBNOFF DC (PRESIDENT)
(973) 324-2111
Entity
Organization
Contact information
Practice address
77 MAIN ST, SUITE 5, WEST ORANGE, NJ 07052-5495
(973) 324-2111
(732) 212-0713
Mailing address
77 MAIN ST, SUITE 5, WEST ORANGE, NJ 07052-5495
(973) 324-2111
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
NJ
208D00000X
General Practice Physician
—
NJ
225100000X
Physical Therapist
—
NJ
363A00000X
Physician Assistant
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2742788000
AMERIHEALTH
NJ
01
—
DF2512
RAILROAD MEDICARE
NJ
Enumeration date
06/25/2006
Last updated
07/21/2022
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