Healthcare Provider Details

I. General information

NPI: 1770817082
Provider Name (Legal Business Name): FORT LEE HEALTH CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2009
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1067 PALISADE AVE
FORT LEE NJ
07024-6329
US

IV. Provider business mailing address

1067 PALISADE AVE
FORT LEE NJ
07024-6329
US

V. Phone/Fax

Practice location:
  • Phone: 201-886-8184
  • Fax: 201-886-8483
Mailing address:
  • Phone: 201-886-8184
  • Fax: 201-886-8483

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LEONARD ZELTSER
Title or Position: PHYSICAL THERPIST
Credential:
Phone: 201-647-4023