| Irie Salon And Spa | |
|
895 Palisade Ave Fort Lee NJ 07024-4122 | |
| (347) 901-6147 | |
| Not Available |
| Full Name | Irie Salon And Spa |
|---|---|
| Speciality | Health Maintenance Organization |
| Location | 895 Palisade Ave, Fort Lee, New Jersey |
| Authorized Official Name and Position | Sandra Senior (LEAD THERAPIST, MANAGER) |
| Authorized Official Contact | 9174964691 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Irie Salon And Spa 895 Palisade Ave Fort Lee NJ 07024-4122 Ph: (347) 901-6147 | Irie Salon And Spa 895 Palisade Ave Fort Lee NJ 07024-4122 Ph: (347) 901-6147 |
| NPI Number | 1710546155 |
|---|---|
| Provider Enumeration Date | 06/10/2019 |
| Last Update Date | 06/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710546155 | NPI | - | NPPES |
| 18KT01097200 | Other | NJ | NEW JERSEY OFFICE OF ATTORNEY GENERAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 302R00000X | Health Maintenance Organization | (* (Not Available)) | Primary |
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