Northeastern Spine & Physical Therapy LLC

NPI #1114466901 in Hamburg, New Jersey

Provider Information

NPI Number: 1114466901
Entity Type: Organization
Organization Name: Northeastern Spine & Physical Therapy LLC
Primary Specialty: Chiropractor
Enumeration Date: Feb 14, 2017
Last Updated: Feb 14, 2017

Practice Location

Address: 3621 ROUTE 94
Address 2: UNIT#2
City: Hamburg
State: New Jersey
ZIP Code: 07419-9651
Phone: (973) 864-8997

Authorized Official

Name: DR. VINCENT CAVALLARO
Title: OWNER
Phone: (845) 699-2342

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Chiropractor	111N00000X	Primary

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