| Elite Spine And Sports Care Of Fort Lee Pc | |
|
1622 Parker Ave Ste 2b, Fort Lee, NJ 07024-6927 | |
| (201) 592-0800 | |
| Not Available |
| Full Name | Elite Spine And Sports Care Of Fort Lee Pc |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Physical Therapy |
| Location | 1622 Parker Ave Ste 2b, 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 |
|---|---|---|---|
| 1508336298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
| Provider Name | Gabriel Hannawi |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1013332055 PECOS PAC ID: 8628201886 Enrollment ID: I20140424000689 |
| Provider Name | Michael J Yarish |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821567553 PECOS PAC ID: 2365780699 Enrollment ID: I20190227000041 |
| Provider Name | John Mathai |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1407487051 PECOS PAC ID: 3779910112 Enrollment ID: I20200225002341 |
| Provider Name | Joseph M Cangialosi |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861148686 PECOS PAC ID: 1254726037 Enrollment ID: I20220314000641 |
| Provider Name | Carmen Guarino |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467038679 PECOS PAC ID: 5991150609 Enrollment ID: I20231016003705 |
| Provider Name | Corrine Pineda |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710733704 PECOS PAC ID: 1850835901 Enrollment ID: I20240628003456 |
| Provider Name | Jessica Jozefiak |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346072303 PECOS PAC ID: 8426597105 Enrollment ID: I20240826002794 |
| Provider Name | Jeongmin Hyun |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366252181 PECOS PAC ID: 2062942717 Enrollment ID: I20250210002895 |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Spine And Sports Care Of Fort Lee Pc 1622 Parker Ave Ste 2b, Fort Lee, NJ 07024-6927 Ph: () - | Elite Spine And Sports Care Of Fort Lee Pc 1622 Parker Ave Ste 2b, Fort Lee, NJ 07024-6927 Ph: (201) 592-0800 |