Provider Demographics
NPI:1760841753
Name:THE SPINE AND HEALTH CENTER OF MONTVALE
Entity type:Organization
Organization Name:THE SPINE AND HEALTH CENTER OF MONTVALE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:WOHL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:201-746-6577
Mailing Address - Street 1:32 PHILIPS PKWY
Mailing Address - Street 2:
Mailing Address - City:MONTVALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07645-1811
Mailing Address - Country:US
Mailing Address - Phone:201-746-6577
Mailing Address - Fax:
Practice Address - Street 1:32 PHILIPS PKWY
Practice Address - Street 2:
Practice Address - City:MONTVALE
Practice Address - State:NJ
Practice Address - Zip Code:07645-1811
Practice Address - Country:US
Practice Address - Phone:201-746-6577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-18
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty