Diana Zamora Phd Pc | |
7716 Kennedy Blvd North Bergen NJ 07047-4178 | |
(917) 687-8292 | |
Not Available |
Full Name | Diana Zamora Phd Pc |
---|---|
Speciality | Psychologist |
Location | 7716 Kennedy Blvd, North Bergen, New Jersey |
Authorized Official Name and Position | Diana Zamora (PRESIDENT) |
Authorized Official Contact | 9176878292 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Diana Zamora Phd Pc 7716 Kennedy Blvd North Bergen NJ 07047-4178 Ph: (917) 687-8292 | Diana Zamora Phd Pc 7716 Kennedy Blvd North Bergen NJ 07047-4178 Ph: (917) 687-8292 |
NPI Number | 1184394264 |
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Provider Enumeration Date | 09/20/2021 |
Last Update Date | 09/20/2021 |
Certification Date | 09/20/2021 |
Medicare PECOS PAC ID | 4880083765 |
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Medicare Enrollment ID | O20211115002279 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184394264 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Diana Zamora |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1942685698 PECOS PAC ID: 5991011553 Enrollment ID: I20211115002430 |
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