Mahros K Isaac
PROGRESSIVE REHAB AND HOME CARE PT AND OT PLLC


Address: 537 Banta St, Ridgewood, NJ 07450-1918
Phone: 2018037008

Mahros K Isaac (NPI# 1568780104, PAC ID# 4587636030) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.

Physician Overview

Nation Provider ID (NPI) 1568780104
PAC ID by PECOS 4587636030
Professional Enrollment ID I20040806000389
Full Name Mahros K Isaac
Organization Legal Name PROGRESSIVE REHAB AND HOME CARE PT AND OT PLLC
Address 537 Banta St
Ridgewood
NJ 07450-1918
Phone Number 2018037008
Gender M
Credential PT
Graduation Year 1995
Primary Specialty PHYSICAL THERAPY
Group Practice PAC ID 6002074770
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
537 Banta St, Ridgewood, NJ 07450-1918 2018037008 PROGRESSIVE REHAB AND HOME CARE PT AND OT PLLC

Organization Information

Organization Legal Name PROGRESSIVE REHAB AND HOME CARE PT AND OT PLLC
Physicians 1

Office Location

Street Address 537 BANTA ST
City RIDGEWOOD
State NJ
Zip 07450-1918

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Competitor

Search similar physicians

City RIDGEWOOD
Zip Code 07450
Specialty PHYSICAL THERAPY
City + Specialty RIDGEWOOD + PHYSICAL THERAPY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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