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HARBORSIDE SPORT & SPINE LLC NPI 1407079833


NPI Information

NPI: 1407079833
Provider Name: HARBORSIDE SPORT & SPINE LLC
Classification: Rehabilitation Practitioner - 225400000X
Entity Type: Organization
Address:
75 MONTGOMERY ST
SUITE 603
JERSEY CITY, NJ
ZIP 07302
Phone: (201) 433-1955
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HARBORSIDE SPORT & SPINE LLC is a rehabilitation practitioner in Jersey City, NJ. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. HARBORSIDE SPORT & SPINE LLC NPI is 1407079833. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

75 MONTGOMERY ST
SUITE 603
JERSEY CITY, NJ
ZIP 07302-726
Phone: (201) 433-1955

The provider's authorized official is David Sylvester .
The authorized official title is Single Member and has the following contact phone number (201) 433-1955.

The enumeration date for this NPI number is 4/11/2007 and was last updated on 1/30/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225400000XRehabilitation PractitionerMC00641600NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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