| Andrea C Marana Llc | |
|
65 N Maple Ave Suite212 Ridgewood NJ 07450-3233 | |
| (201) 805-5764 | |
| Not Available |
| Full Name | Andrea C Marana Llc |
|---|---|
| Speciality | Social Worker |
| Location | 65 N Maple Ave, Ridgewood, New Jersey |
| Authorized Official Name and Position | Andrea Cesira Marana (OWNER) |
| Authorized Official Contact | 2019479773 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea C Marana Llc 115 Broad Ave Leonia NJ 07605-2020 Ph: (201) 947-9773 | Andrea C Marana Llc 65 N Maple Ave Suite212 Ridgewood NJ 07450-3233 Ph: (201) 805-5764 |
| NPI Number | 1336512664 |
|---|---|
| Provider Enumeration Date | 11/09/2015 |
| Last Update Date | 11/09/2015 |
| Medicare PECOS PAC ID | 4880904184 |
|---|---|
| Medicare Enrollment ID | O20151116001868 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336512664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Andrea C Marana |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972937860 PECOS PAC ID: 4486884046 Enrollment ID: I20140226001192 |
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