| Hackensack Psychiatric Group Llc | |
|
211 Essex St Ste 204 Hackensack NJ 07601-3245 | |
| (201) 487-1240 | |
| (201) 487-1241 |
| Full Name | Hackensack Psychiatric Group Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 211 Essex St Ste 204, Hackensack, New Jersey |
| Authorized Official Name and Position | Jennifer Cruz (AUTHORIZED DELEGATED OFFICIAL) |
| Authorized Official Contact | 2014871240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hackensack Psychiatric Group Llc 211 Essex St Ste 204 Hackensack NJ 07601-3245 Ph: (201) 487-1240 | Hackensack Psychiatric Group Llc 211 Essex St Ste 204 Hackensack NJ 07601-3245 Ph: (201) 487-1240 |
| NPI Number | 1063994960 |
|---|---|
| Provider Enumeration Date | 09/06/2018 |
| Last Update Date | 12/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063994960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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