Organization
SPINE AND REHABILITATION CENTER OF WEST NEW YORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JOHN LATZA DC (MANAGER)
(908) 764-7704
Entity
Organization
Contact information
Practice address
6000 KENNEDY BLVD W, WEST NEW YORK, NJ 07093-1414
(201) 758-0099
(201) 758-2992
Mailing address
6000 KENNEDY BLVD W, WEST NEW YORK, NJ 07093-1414
(201) 758-0099
(201) 758-2992
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
08/04/2016
Last updated
02/27/2017
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