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NPI Code Detail

MEDICARE: THE CENTER FOR MEDICAL HEALING ON MADISON

MEDICARE: THE CENTER FOR MEDICAL HEALING ON MADISON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12081P2900XPain Medicine (Physical Medicine & Rehabilitation) Physician209768-1NY
22081P2900XPain Medicine (Physical Medicine & Rehabilitation) PhysicianMB 72964NJ

General Provider Information

NPI Number : 1972520633
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE CENTER FOR MEDICAL HEALING ON MADISON
Provider Business Mailing Address
First Line : PO BOX 726
Second Line :
City : NEW YORK
State : NY
Zip : 10156-0726
Country : US
Telephone Number : 888-485-0001
Fax Number : 888-485-0001
Provider Business Practice Location Address
First Line : 206 BERGEN AVE
Second Line : SUITE 203
City : KEARNY
State : NJ
Zip : 07032-3324
Country : US
Telephone Number : 888-485-0001
Fax Number : 888-485-0001
Authorized Official
Title or Position : HEAD PHYSICIAN
Name : DR. ANNETTE DA SILVA
Credential : D.O.
Telephone Number : 888-485-0001
Provider Enumeration Date : 07/17/2006
Last Update Date : 08/02/2007

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Directions to “THE CENTER FOR MEDICAL HEALING ON MADISON ” Practice Location

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