Center For Neurocognitive Therapy, Llc | |
381 Park Street Suite 2b Hackensack NJ 07601-4350 | |
(201) 968-5097 | |
(201) 464-2278 |
Full Name | Center For Neurocognitive Therapy, Llc |
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Speciality | Psychiatry & Neurology |
Location | 381 Park Street, Hackensack, New Jersey |
Authorized Official Name and Position | Georges Ghacibeh (M.D.) |
Authorized Official Contact | 2019685097 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Center For Neurocognitive Therapy, Llc Po Box 1447 Englewood Cliffs NJ 07632-1447 Ph: (201) 967-8425 | Center For Neurocognitive Therapy, Llc 381 Park Street Suite 2b Hackensack NJ 07601-4350 Ph: (201) 968-5097 |
NPI Number | 1851098008 |
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Provider Enumeration Date | 02/08/2023 |
Last Update Date | 02/08/2023 |
Certification Date | 02/08/2023 |
Medicare PECOS PAC ID | 3870967805 |
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Medicare Enrollment ID | O20230315000086 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851098008 | NPI | - | NPPES |
Provider Name | Georges A Ghacibeh |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1851331680 PECOS PAC ID: 6103806633 Enrollment ID: I20071025000133 |
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