| Ariadnes Thread Inc | |
|
46 Bergen St Englewood NJ 07631-2908 | |
| (201) 336-4244 | |
| Not Available |
| Full Name | Ariadnes Thread Inc |
|---|---|
| Speciality | Social Worker |
| Location | 46 Bergen St, Englewood, New Jersey |
| Authorized Official Name and Position | Valery Fradkov (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2014970289 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ariadnes Thread Inc 46 Bergen St Englewood NJ 07631-2908 Ph: () - | Ariadnes Thread Inc 46 Bergen St Englewood NJ 07631-2908 Ph: (201) 336-4244 |
| NPI Number | 1407264658 |
|---|---|
| Provider Enumeration Date | 07/31/2014 |
| Last Update Date | 07/31/2014 |
| Medicare PECOS PAC ID | 4486909652 |
|---|---|
| Medicare Enrollment ID | O20180613000217 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407264658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05391100 (New Jersey) | Primary |
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