MICHAEL FORMISANO

TEANECK, NJ
NPI1902029242
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  40QA01081900)
Enumeration Date2007-04-11
Last Update Date2023-07-14
Business Address
Dr. MICHAEL FORMISANO PT, DPT, OCS
1029 TEANECK RD STE 2E
TEANECK, NJ 07666-4514
Phone number: 551-246-9340
Mailing Address
Dr. MICHAEL FORMISANO PT, DPT, OCS
3-18 VIRGINIA DR
FAIR LAWN, NJ 07410-4727
Phone number: 201-887-2409