Provider Demographics
NPI:1386851764
Name:SY, RAYMOND TENG (PT)
Entity Type:Individual
Prefix:
First Name:RAYMOND
Middle Name:TENG
Last Name:SY
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 JACOBUS AVE
Mailing Address - Street 2:
Mailing Address - City:LITTLE FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-2305
Mailing Address - Country:US
Mailing Address - Phone:551-358-2425
Mailing Address - Fax:
Practice Address - Street 1:8 BALDWIN AVE
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07304-3154
Practice Address - Country:US
Practice Address - Phone:551-358-2425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2016-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist