| E Noach Shapiro Lcsw | |
|
101 Park St Suite 3 Montclair NJ 07042-2963 | |
| (973) 718-9943 | |
| Not Available |
| Full Name | E Noach Shapiro Lcsw |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 101 Park St, Montclair, New Jersey |
| Authorized Official Name and Position | E Noach Shapiro (OWNER) |
| Authorized Official Contact | 9737189943 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| E Noach Shapiro Lcsw 101 Park St Suite 3 Montclair NJ 07042-2963 Ph: (973) 718-9943 | E Noach Shapiro Lcsw 101 Park St Suite 3 Montclair NJ 07042-2963 Ph: (973) 718-9943 |
| NPI Number | 1679945133 |
|---|---|
| Provider Enumeration Date | 10/23/2015 |
| Last Update Date | 10/23/2015 |
| Medicare PECOS PAC ID | 0547536807 |
|---|---|
| Medicare Enrollment ID | O20171101001097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679945133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 44SC05601400 (New Jersey) | Primary |
| Provider Name | E Noach Shapiro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376948083 PECOS PAC ID: 0446526701 Enrollment ID: I20171102003419 |
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