NPI 1407079833

Harborside Sport & Spine LLC

Organisation Rehabilitation Practitioner Jersey City, NJ

Practice location

Address: 75 Montgomery St Suite 603, Jersey City, NJ 07302-3726
Phone: (201) 433-1955

Authorised official

Name: David Sylvester
Title: Single Member
Phone: (201) 433-1955

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X Licence MC00641600 (NJ)

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Registry record

NPI: 1407079833
Entity type: Organization
NPI issued: 11 Apr 2007
Record last updated: 30 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.