Healthcare Provider Details
I. General information
NPI: 1134857592
Provider Name (Legal Business Name): AFTER HOURS PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/12/2022
Last Update Date: 08/12/2022
Certification Date: 08/11/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
80 VAN HOUTEN AVE
PASSAIC NJ
07055-5519
US
IV. Provider business mailing address
80 VAN HOUTEN AVE
PASSAIC NJ
07055-5519
US
V. Phone/Fax
- Phone: 973-970-3033
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name: DR.
YOSEF
BORENSTEIN
Title or Position: COO
Credential: DPT
Phone: 732-804-8535