| Equilibrium, Llc | |
|
158 Linwood Plz Ste 308, Fort Lee, NJ 07024-3704 | |
| (201) 461-9333 | |
| (201) 461-0851 |
| Full Name | Equilibrium, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 158 Linwood Plz Ste 308, Fort Lee, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710383419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Inhyon Park |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1346393220 PECOS PAC ID: 3870752785 Enrollment ID: I20120313000636 |
| Provider Name | David Park |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689041659 PECOS PAC ID: 9133438732 Enrollment ID: I20151022000285 |
| Provider Name | Sanghyop An |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255972915 PECOS PAC ID: 7719386416 Enrollment ID: I20210601000516 |
| Provider Name | Dominica Bianconi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659144095 PECOS PAC ID: 5395188767 Enrollment ID: I20240213002603 |
| Mailing Address | Practice Location Address |
|---|---|
| Equilibrium, Llc 158 Linwood Plz Ste 308, Fort Lee, NJ 07024-3704 Ph: (201) 461-9333 | Equilibrium, Llc 158 Linwood Plz Ste 308, Fort Lee, NJ 07024-3704 Ph: (201) 461-9333 |