Provider Demographics
NPI:1962809822
Name:PHYSICAL MEDICINE OF RAMAPO PLLC
Entity type:Organization
Organization Name:PHYSICAL MEDICINE OF RAMAPO PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/MD
Authorized Official - Prefix:
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:
Authorized Official - Last Name:BILBOOL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:800-750-8616
Mailing Address - Street 1:26 FIREMANS MEMORIAL DRIVE
Mailing Address - Street 2:SUITE 115
Mailing Address - City:POMONA
Mailing Address - State:NY
Mailing Address - Zip Code:10970
Mailing Address - Country:US
Mailing Address - Phone:800-750-8616
Mailing Address - Fax:845-362-8474
Practice Address - Street 1:222 ROUTE 59
Practice Address - Street 2:SUITE 106
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-5207
Practice Address - Country:US
Practice Address - Phone:845-357-9400
Practice Address - Fax:845-357-0316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-20
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY260184208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty