Lifespan | |
2100 Route 33 Suite 9 & 10 Neptune NJ 07753 | |
(732) 988-3441 | |
(732) 988-7123 |
Full Name | Lifespan |
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Speciality | Psychologist |
Location | 2100 Route 33, Neptune, New Jersey |
Authorized Official Name and Position | Robert B Sica (DIRECTOR) |
Authorized Official Contact | 7329883441 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lifespan 2100 Route 33 Suite 9 & 10 Neptune NJ 07753-6102 Ph: (732) 988-3441 | Lifespan 2100 Route 33 Suite 9 & 10 Neptune NJ 07753 Ph: (732) 988-3441 |
NPI Number | 1376663096 |
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Provider Enumeration Date | 03/29/2007 |
Last Update Date | 01/21/2014 |
Medicare PECOS PAC ID | 3577745926 |
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Medicare Enrollment ID | O20110307000964 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376663096 | NPI | - | NPPES |
Provider Name | Robert B Sica |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1366420598 PECOS PAC ID: 4385680479 Enrollment ID: I20050629000281 |
Provider Name | Steven P Greco |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1164553939 PECOS PAC ID: 2365624566 Enrollment ID: I20110322000720 |
Provider Name | Lauren A Gashlin |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1336557719 PECOS PAC ID: 7618273293 Enrollment ID: I20160308000997 |
Provider Name | Katherine Tommaso |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1023593639 PECOS PAC ID: 5395097414 Enrollment ID: I20181017002445 |
Provider Name | Mihir J Shah |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1619315223 PECOS PAC ID: 1355672734 Enrollment ID: I20191016001967 |
Provider Name | Eleonora V Gallagher |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1427713627 PECOS PAC ID: 3476903287 Enrollment ID: I20231220000380 |
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