Healthcare Provider Details

I. General information

NPI: 1982004016
Provider Name (Legal Business Name): LEONARD ZELTSER PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2014
Last Update Date: 08/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

283 PIAGET AVE
CLIFTON NJ
07011-2510
US

IV. Provider business mailing address

291 MCCLOUD DRIVE
FORT LEE NJ
07024
US

V. Phone/Fax

Practice location:
  • Phone: 973-772-3930
  • Fax:
Mailing address:
  • Phone: 201-647-4023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number40QA01563200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: