Greg R. Ieraci | |
121 Cedar Ln Suite 3-a Teaneck NJ 07666-4457 | |
(201) 836-1065 | |
Not Available |
Full Name | Greg R. Ieraci |
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Speciality | Counselor - Professional |
Location | 121 Cedar Ln, Teaneck, New Jersey |
Authorized Official Name and Position | Greg R Ieraci (COUNSELOR AND PSYCHOTHERAPIST) |
Authorized Official Contact | 5512654621 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Greg R. Ieraci 557 Schaefer Ave Oradell NJ 07649-2517 Ph: (551) 265-4621 | Greg R. Ieraci 121 Cedar Ln Suite 3-a Teaneck NJ 07666-4457 Ph: (201) 836-1065 |
NPI Number | 1134581457 |
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Provider Enumeration Date | 03/25/2016 |
Last Update Date | 03/25/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134581457 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 37PC00518400 (New Jersey) | Primary |
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