Doctor Name: | MS. MAGDEALENA BUCZEK |
NPI Number: | 1164729380 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 40QA01383800 |
Business Practice Address: | 15 Vervalen St Closter, NJ - 076242635 |
Business Phone Number: | 2017848400 |
Business Fax Number: | 2017848401 |
Mailing Address: | 730 Palisade Ave, TEANECK |
State: | NJ |
Postal Code: | 076663144 |
Phone Number: | 2015301004 |
Fax Number: | 2015300002 |
NPI Enumeration Date: | 02/24/2011 |
NPI Last Update Date: | 02/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 40QA01383800 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |