OrganizationActive
Pl Pmr Medical PC
NPI 1316350481 · Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician · Fort Lee, NJ
Provider details
- NPI number
- 1316350481
- Entity type
- Organization
- Primary specialty
- Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lyudmila Poretskaya, President/ Owner(551) 574-2177
- License
- 25MA08695400 (NJ)
Specialties & taxonomies
- Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianPrimary2081N0008XLicense 25MA08695400 (NJ)
Allopathic & Osteopathic Physicians
Practice location
1018 Palisade Ave
Suite 18
Fort Lee, NJ 07024-6300
Phone: (551) 574-2177
Approximate (ZIP-level) locationGet directions
Mailing address
1018 Palisade Ave
Fort Lee, NJ 07024-6300
Registry dates
- Enumerated
- 2014-06-06
- Last updated
- 2014-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.