Organization
PALISADES REHAB AND PHYSICAL THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDRES DURAN-CABRERA (MANAGER)
(201) 941-3939
Entity
Organization
Contact information
Practice address
596 ANDERSON AVE, 108, CLIFFSIDE PARK, NJ 07010-1831
(201) 941-3939
Mailing address
596 ANDERSON AVE, 108, CLIFFSIDE PARK, NJ 07010-1831
(201) 941-3939
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA01109800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
423843
MEDICARE ID
NJ
Enumeration date
01/06/2016
Last updated
09/23/2016
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