| Ephatha Mental Health Associates Pc | |
|
566 Grand Ave Ridgefield NJ 07657-1504 | |
| (201) 313-8000 | |
| (201) 313-8002 |
| Full Name | Ephatha Mental Health Associates Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 566 Grand Ave, Ridgefield, New Jersey |
| Authorized Official Name and Position | Seung H Lee (PRESIDENT) |
| Authorized Official Contact | 2013138000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ephatha Mental Health Associates Pc 566 Grand Ave Ridgefield NJ 07657-1504 Ph: (201) 313-8000 | Ephatha Mental Health Associates Pc 566 Grand Ave Ridgefield NJ 07657-1504 Ph: (201) 313-8000 |
| NPI Number | 1609026830 |
|---|---|
| Provider Enumeration Date | 09/24/2008 |
| Last Update Date | 03/12/2009 |
| Medicare PECOS PAC ID | 6608923891 |
|---|---|
| Medicare Enrollment ID | O20090403000291 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609026830 | NPI | - | NPPES |
| Provider Name | Seung H Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770693996 PECOS PAC ID: 7618938135 Enrollment ID: I20041019000767 |
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