Provider Demographics
NPI:1093209058
Name:MJAR INC
Entity Type:Organization
Organization Name:MJAR INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MARIE JODEL
Authorized Official - Middle Name:ACORDA
Authorized Official - Last Name:RIMANDO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:917-403-2015
Mailing Address - Street 1:66 SUMMER ST UNIT 1110
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06901-2345
Mailing Address - Country:US
Mailing Address - Phone:917-403-2915
Mailing Address - Fax:
Practice Address - Street 1:66 SUMMER ST UNIT 1110
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06901-2345
Practice Address - Country:US
Practice Address - Phone:917-403-2915
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-21
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency