| |
100 Union Ave, Cresskill, NJ 07626-2141 | |
(917) 596-3998 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Dietitian, Registered |
Location | 100 Union Ave, Cresskill, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801223789 | NPI | - | NPPES |
960371 | Other | COMMISION ON DIETETIC REGISTRATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 960371 (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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100 Union Ave, Cresskill, NJ 07626-2141 Ph: (917) 596-3998 | 100 Union Ave, Cresskill, NJ 07626-2141 Ph: (917) 596-3998 |
Julie Lichty Balay, MS, RD, CSSD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 Union Ave, Cresskill, NJ 07626 Phone: 917-596-3998 Fax: 201-266-6623 |