Brianna D'alessio, | |
122 Iroquois Ave, Lake Hiawatha, NJ 07034-1705 | |
(862) 763-1786 | |
Not Available |
Full Name | Brianna D'alessio |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 122 Iroquois Ave, Lake Hiawatha, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245815349 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 44SL06639500 (New Jersey) | Primary |
Entity Name | Elderology Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790931269 PECOS PAC ID: 6507904141 Enrollment ID: O20091119000048 |
Mailing Address | Practice Location Address |
---|---|
Brianna D'alessio, 122 Iroquois Ave, Lake Hiawatha, NJ 07034-1705 Ph: (862) 763-1786 | Brianna D'alessio, 122 Iroquois Ave, Lake Hiawatha, NJ 07034-1705 Ph: (862) 763-1786 |
Mrs. Irene Hernandez-kearns, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 35 Madison Ave, Lake Hiawatha, NJ 07034 Phone: 201-723-8453 | |
Krista Lyn Dettle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 38 Glenwood Ave, Lake Hiawatha, NJ 07034 Phone: 201-787-6939 | |
Ms. Desiree Tempany, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 41 Iroquois Ave, Lake Hiawatha, NJ 07034 Phone: 973-615-3712 Fax: 973-794-3492 | |
Mr. Peter T Calderwood, MA, EDS, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 N Beverwyck Rd, Suite 3, Lake Hiawatha, NJ 07034 Phone: 973-303-0175 |