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1285417113
NATHAN MENJIVAR
CLIFFSIDE PARK, NJ
NPI
1285417113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA02199700)
Enumeration Date
2023-08-15
Last Update Date
2023-08-15
Business Address
NATHAN MENJIVAR DPT
1 TOWNE CTR APT 1007
CLIFFSIDE PARK, NJ 07010-2056
Phone number: 201-988-0796
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Mailing Address
NATHAN MENJIVAR DPT
1311 MAMARONECK AVE STE 140
WHITE PLAINS, NY 10605-5224
Phone number: 914-265-4606
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