| Bsl Pm Nj Llc | |
|
46 N Central Ave Ramsey NJ 07446-1864 | |
| (201) 314-1760 | |
| Not Available |
| Full Name | Bsl Pm Nj Llc |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 46 N Central Ave, Ramsey, New Jersey |
| Authorized Official Name and Position | Brad Samuel Lieberman (MEMBER) |
| Authorized Official Contact | 2013141760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bsl Pm Nj Llc 31-09 Heywood Ave Fair Lawn NJ 07410-4405 Ph: (201) 314-1760 | Bsl Pm Nj Llc 46 N Central Ave Ramsey NJ 07446-1864 Ph: (201) 314-1760 |
| NPI Number | 1164016135 |
|---|---|
| Provider Enumeration Date | 02/21/2021 |
| Last Update Date | 08/05/2024 |
| Certification Date | 08/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164016135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
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