NPI 1972923506

Isaak Gorelov

Practitioner Rehabilitation Practitioner Riverdale, NJ

Practice location

Address: 6 North Corporate Drive Push to Walk, Riverdale, NJ 07457
Phone: (862) 200-5848
Fax: (862) 200-5976

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X Licence 726999 (NJ)

Other Rehabilitation Practitioner providers in New Jersey →

Registry record

NPI: 1972923506
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Apr 2014
Record last updated: 22 Apr 2014

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.