Mr. Dylan Zera-Krushinski, LAT, ATC
Prevention Professional in Montclair, New Jersey
1790224319- Practice location
- 1 Normal Ave, Montclair, NJ 07043-1624
- Phone
- 973-655-5250
- Fax
- —
- Last updated
- February 15, 2017
Dylan Zera-Krushinski is a Prevention Professional based in Montclair, NJ. Dylan Zera-Krushinski practices in Montclair, NJ and has the professional credentials of LAT, ATC. The NPI Number for Dylan Zera-Krushinski is 1790224319 and holds a License No. 25MT00221400 (NJ). The current practice location address for Dylan Zera-Krushinski is 1 Normal Ave, Montclair, NJ 07043-1624 and can be reached out via phone at 973-655-5250.
Provider Profile Details
- NPI Number
- 1790224319
- Provider Name
- Dylan Zera-Krushinski
- Credential
- LAT, ATC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1 Normal Ave, Montclair, NJ 07043-1624
- Phone Number
- 973-655-5250
- Primary Taxonomy
- Prevention Professional · 405300000X
- Sole Proprietor
- No
- Other Names
- Mr. Dylan Krushinski, LAT, ATC (Professional Name)
- Provider Enumeration Date
- February 15, 2017
- Last Update Date
- February 15, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Normal Ave
Montclair, NJ 07043-1624 - City
- Montclair
- State
- New Jersey
- Zip
- 07043-1624
- Phone Number
- 973-655-5250
Provider Business Mailing Address Details
- Address
- 510 Miller St # 3
Perth Amboy, NJ 08861-3474 - City
- Perth Amboy
- State
- NJ
- Zip
- 08861-3474
- Phone Number
- 732-794-3892
License Information
- License Number
- 25MT00221400
- License State
- NJ
- Taxonomy
- Prevention Professional · 405300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Dylan Zera-Krushinski, LAT, ATC?
The NPI number of Mr. Dylan Zera-Krushinski, LAT, ATC is 1790224319. It was assigned on February 15, 2017 and is currently active in the NPPES registry.
What is the specialty of Mr. Dylan Zera-Krushinski, LAT, ATC?
Mr. Dylan Zera-Krushinski, LAT, ATC is registered under the primary taxonomy Prevention Professional (code 405300000X), licensed in NJ under license number 25MT00221400.
Where does Mr. Dylan Zera-Krushinski, LAT, ATC practice?
The practice location is 1 Normal Ave, Montclair, NJ 07043-1624. The office can be reached at 973-655-5250 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790224319 directly on the NPPES registry website.