| Medicine And Rehabilitation Pc | |
|
333 Sylvan Ave Ste 111 Englewood Cliffs NJ 07632-2705 | |
| (201) 568-8500 | |
| (201) 568-8518 |
| Full Name | Medicine And Rehabilitation Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 333 Sylvan Ave Ste 111, Englewood Cliffs, New Jersey |
| Authorized Official Name and Position | Andrei Logvinenko (PRESIDENT) |
| Authorized Official Contact | 2015688500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medicine And Rehabilitation Pc Po Box 37 Franklin Lakes NJ 07417-0037 Ph: (201) 568-8500 | Medicine And Rehabilitation Pc 333 Sylvan Ave Ste 111 Englewood Cliffs NJ 07632-2705 Ph: (201) 568-8500 |
| NPI Number | 1407893662 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 01/13/2011 |
| Medicare PECOS PAC ID | 4082763875 |
|---|---|
| Medicare Enrollment ID | O20090528000030 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407893662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA67595 (New Jersey) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | MA63969 (New Jersey) | Secondary |
| Provider Name | Andrei Logvinenko |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1952348195 PECOS PAC ID: 9537218326 Enrollment ID: I20110518000344 |
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