| Michael Ryan Blanco, DPT | |
|
31 Ver Valen St, Closter, NJ 07624-2699 | |
| (201) 784-2700 | |
| Not Available |
| Full Name | Michael Ryan Blanco |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 31 Ver Valen St, Closter, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104553262 | NPI | - | NPPES |
| 40QA02105400 | Other | NJ | NEW JERSEY DIVISION OF CONSUMER AFFAIRS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA02105400 (New Jersey) | Primary |
| Provider Name | The Spine And Health Center Of Montvale |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1205085024 PECOS PAC ID: 8224195847 Enrollment ID: O20090326000422 |
| Provider Name | Spine And Health Center Of Closter Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1497291728 PECOS PAC ID: 7214209030 Enrollment ID: O20170814003015 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Ryan Blanco, DPT 5 Austin Pl, Hasbrouck Heights, NJ 07604-1438 Ph: (201) 220-9049 | Michael Ryan Blanco, DPT 31 Ver Valen St, Closter, NJ 07624-2699 Ph: (201) 784-2700 |
Khalid Hameed, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 60 Knickerbocker Rd, Closter, NJ 07624 Phone: 201-334-2188 Fax: 201-767-6818 | |
Mrs. Marianne Flores, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15 Ver Valen St, Closter, NJ 07624 Phone: 201-784-6800 Fax: 201-784-6801 | |
Tido Nahm, Physical Therapist Medicare: Medicare Enrolled Practice Location: 31 Ver Valen St, Closter, NJ 07624 Phone: 201-784-2700 | |
Ms. Magdealena Buczek, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15 Vervalen St, Closter, NJ 07624 Phone: 201-784-8400 Fax: 201-784-8401 | |
Alfa Rose Y Coronado, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 Vervalen St, Closter, NJ 07624 Phone: 201-784-8400 Fax: 201-784-8401 | |
Mrs. Donabella Magdadaro, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 277 Closter Dock Rd, Closter, NJ 07624 Phone: 201-768-7211 Fax: 201-768-2035 |