| Merkaba Mts, Llc. | |
|
711 Stuyvesant Ave # A Irvington NJ 07111-1823 | |
| (732) 217-4717 | |
| Not Available |
| Full Name | Merkaba Mts, Llc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 711 Stuyvesant Ave # A, Irvington, New Jersey |
| Authorized Official Name and Position | Shelley Taylor (MANAGER) |
| Authorized Official Contact | 7322174717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Merkaba Mts, Llc. Po Box 1294 Union NJ 07083-1294 Ph: (732) 217-4717 | Merkaba Mts, Llc. 711 Stuyvesant Ave # A Irvington NJ 07111-1823 Ph: (732) 217-4717 |
| NPI Number | 1467154708 |
|---|---|
| Provider Enumeration Date | 03/20/2023 |
| Last Update Date | 03/20/2023 |
| Certification Date | 03/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467154708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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