Eve Yudelson Llc | |
121 Cedar Ln Suite 3a Teaneck NJ 07666-4457 | |
(201) 836-1065 | |
Not Available |
Full Name | Eve Yudelson Llc |
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Speciality | Social Worker |
Location | 121 Cedar Ln, Teaneck, New Jersey |
Authorized Official Name and Position | Eve Yudelson (PRESIDENT) |
Authorized Official Contact | 2014864294 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Eve Yudelson Llc 962 Queen Anne Rd Teaneck NJ 07666-4626 Ph: (201) 486-4294 | Eve Yudelson Llc 121 Cedar Ln Suite 3a Teaneck NJ 07666-4457 Ph: (201) 836-1065 |
NPI Number | 1336591783 |
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Provider Enumeration Date | 07/11/2016 |
Last Update Date | 09/15/2016 |
Medicare PECOS PAC ID | 7113213240 |
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Medicare Enrollment ID | O20160915001398 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336591783 | NPI | - | NPPES |
1245698182 | Other | NJ | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 44SC05671900 (New Jersey) | Primary |
Provider Name | Eve M Yudelson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1245698182 PECOS PAC ID: 4385930429 Enrollment ID: I20160915001559 |
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