Gary Flink, M.S.P.T.

Individual provider Active NPI Physical Therapist · Fort Lee, NJ

NPI 1063575488 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1063575488
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
QA04671 (NJ)
Practice address
1355 15TH St
Fort Lee, NJ 07024-2039
Phone
(201) 224-8717
Fax
(201) 224-6381
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
QA04671NJMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X QA04671 NJ Yes

Addresses

Primary practice location

1355 15TH St
Fort Lee, NJ 07024-2039

Mailing address

1355 15TH St
Fort Lee, NJ 07024-2039
Phone (201) 224-8717

Other providers in Fort Lee, NJ

All providers in Fort Lee, NJ · Physical Therapist in New Jersey

Sources for this page

Verify at the official NPI Registry.