Provider Demographics
NPI:1659814465
Name:ZUBER, ADIRA
Entity Type:Individual
Prefix:
First Name:ADIRA
Middle Name:
Last Name:ZUBER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 VALLEY ST
Mailing Address - Street 2:APT M-F
Mailing Address - City:SOUTH ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07079-2839
Mailing Address - Country:US
Mailing Address - Phone:310-804-0309
Mailing Address - Fax:
Practice Address - Street 1:153 VALLEY ST
Practice Address - Street 2:APT M-F
Practice Address - City:SOUTH ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07079-2839
Practice Address - Country:US
Practice Address - Phone:310-804-0309
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-28
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY041075225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist