Dima Vicital, | |
55 Meadowlands Pkwy, Secaucus, NJ 07094-2977 | |
(551) 277-4441 | |
Not Available |
Full Name | Dima Vicital |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 55 Meadowlands Pkwy, Secaucus, 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 |
---|---|---|---|
1083218168 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | Daniel Korya Md Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427512722 PECOS PAC ID: 8820339310 Enrollment ID: O20190410001562 |
Mailing Address | Practice Location Address |
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Dima Vicital, 95 Chapel Hill Rd, Lincoln Park, NJ 07035-1921 Ph: () - | Dima Vicital, 55 Meadowlands Pkwy, Secaucus, NJ 07094-2977 Ph: (551) 277-4441 |
Paulette Forbes, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 595 County Ave Bldg 6, Secaucus, NJ 07094 Phone: 973-623-0600 | |
Arenzo Smith, LPC, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 595 County Ave Bldg 7, Secaucus, NJ 07094 Phone: 201-617-2718 | |
Luis Ernesto Arevalo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Harmon Meadow Blvd Fl 4, Secaucus, NJ 07094 Phone: 201-590-6700 | |
Alexa Kearney, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 55 Meadowlands Pkwy, Secaucus, NJ 07094 Phone: 201-392-3238 | |
Karen Ceraso, Counselor Medicare: Not Enrolled in Medicare Practice Location: 595 County Ave Bldg 61, Secaucus, NJ 07094 Phone: 201-583-7100 | |
Dr. Dominic Canova, PSY.D., MSED, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 729 10th St Apt 2e, Secaucus, NJ 07094 Phone: 412-780-0583 |