Individual
DR. EMERSON MEDRANO MATEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DR PHYSICAL THERAPY
Contact information
Practice address
453 GLENWOOD AVE, TEANECK, NJ 07666-6405
(212) 365-4505
Mailing address
453 GLENWOOD AVE, TEANECK, NJ 07666-6405
(212) 365-4505
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
024900
NY
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA01048000
NJ
Other
Enumeration date
05/11/2006
Last updated
02/26/2021
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