| Melissa Kornitzer Lcsw Llc | |
|
4 W Palisade Ave Englewood NJ 07631-2720 | |
| (973) 602-9380 | |
| Not Available |
| Full Name | Melissa Kornitzer Lcsw Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4 W Palisade Ave, Englewood, New Jersey |
| Authorized Official Name and Position | Melissa Kornitzer (OWNER) |
| Authorized Official Contact | 9084891395 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Kornitzer Lcsw Llc 13 Huron Ave Clifton NJ 07013-2908 Ph: (908) 489-1395 | Melissa Kornitzer Lcsw Llc 4 W Palisade Ave Englewood NJ 07631-2720 Ph: (973) 602-9380 |
| NPI Number | 1023856838 |
|---|---|
| Provider Enumeration Date | 07/16/2024 |
| Last Update Date | 08/09/2024 |
| Certification Date | 08/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023856838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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