| Fair Lawn Behavioral Health, Llc | |
|
12-15 Broadway Fair Lawn NJ 07410-2031 | |
| (404) 451-2334 | |
| (201) 837-2027 |
| Full Name | Fair Lawn Behavioral Health, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 12-15 Broadway, Fair Lawn, New Jersey |
| Authorized Official Name and Position | Faiz Aslam Cheema (OWNER) |
| Authorized Official Contact | 4044512334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fair Lawn Behavioral Health, Llc 1-14 Lyons Ave Fair Lawn NJ 07410-1112 Ph: (404) 451-2334 | Fair Lawn Behavioral Health, Llc 12-15 Broadway Fair Lawn NJ 07410-2031 Ph: (404) 451-2334 |
| NPI Number | 1104263516 |
|---|---|
| Provider Enumeration Date | 05/24/2013 |
| Last Update Date | 05/28/2013 |
| Medicare PECOS PAC ID | 0840422994 |
|---|---|
| Medicare Enrollment ID | O20140404000028 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104263516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 25MA08711400 (New Jersey) | Primary |
| Provider Name | Faiz A Cheema |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962602953 PECOS PAC ID: 5991847014 Enrollment ID: I20101213000433 |
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