Inner Vision Services Llc | |
10-14 Saddle River Rd 2nd Floor Fair Lawn NJ 07410-5728 | |
(917) 535-9425 | |
Not Available |
Full Name | Inner Vision Services Llc |
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Speciality | Social Worker - Clinical |
Location | 10-14 Saddle River Rd, Fair Lawn, New Jersey |
Authorized Official Name and Position | Inna Dyaduk (SOCIAL WORKER) |
Authorized Official Contact | 9175359425 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Inner Vision Services Llc 9 Garwood Rd Fair Lawn NJ 07410-4502 Ph: (917) 535-9425 | Inner Vision Services Llc 10-14 Saddle River Rd 2nd Floor Fair Lawn NJ 07410-5728 Ph: (917) 535-9425 |
NPI Number | 1447687322 |
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Provider Enumeration Date | 10/09/2013 |
Last Update Date | 10/09/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447687322 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 44SC05556500 (New Jersey) | Primary |
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