| Empowertherapynjllc | |
|
412 Brook Ave Passaic NJ 07055-2403 | |
| (917) 213-0749 | |
| Not Available |
| Full Name | Empowertherapynjllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 412 Brook Ave, Passaic, New Jersey |
| Authorized Official Name and Position | Alexander Lawrence Fleischer (OWNER) |
| Authorized Official Contact | 9172130749 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowertherapynjllc 412 Brook Ave Passaic NJ 07055-2403 Ph: (917) 213-0749 | Empowertherapynjllc 412 Brook Ave Passaic NJ 07055-2403 Ph: (917) 213-0749 |
| NPI Number | 1194562116 |
|---|---|
| Provider Enumeration Date | 07/09/2024 |
| Last Update Date | 07/09/2024 |
| Certification Date | 07/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194562116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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