| Lia Hackett Apn Llc | |
|
11 Paterson Ave Midland Park NJ 07432-1829 | |
| (201) 321-4071 | |
| Not Available |
| Full Name | Lia Hackett Apn Llc |
|---|---|
| Speciality | Social Worker |
| Location | 11 Paterson Ave, Midland Park, New Jersey |
| Authorized Official Name and Position | Lia Hackett (OWNER) |
| Authorized Official Contact | 2013214071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lia Hackett Apn Llc 11 Paterson Ave Ste 7 Midland Park NJ 07432-1873 Ph: () - | Lia Hackett Apn Llc 11 Paterson Ave Midland Park NJ 07432-1829 Ph: (201) 321-4071 |
| NPI Number | 1386357457 |
|---|---|
| Provider Enumeration Date | 01/03/2023 |
| Last Update Date | 01/03/2023 |
| Certification Date | 01/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386357457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
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