| Michele Dryerman, Llc | |
|
17 S Franklin Tpke Ramsey NJ 07446-2552 | |
| (917) 716-7203 | |
| Not Available |
| Full Name | Michele Dryerman, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 17 S Franklin Tpke, Ramsey, New Jersey |
| Authorized Official Name and Position | Michele Dryerman (LCSW / OWNER) |
| Authorized Official Contact | 9177167203 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michele Dryerman, Llc 17 S Franklin Tpke Ramsey NJ 07446-2552 Ph: (917) 716-7203 | Michele Dryerman, Llc 17 S Franklin Tpke Ramsey NJ 07446-2552 Ph: (917) 716-7203 |
| NPI Number | 1891259511 |
|---|---|
| Provider Enumeration Date | 01/27/2019 |
| Last Update Date | 01/27/2019 |
| Medicare PECOS PAC ID | 9032450036 |
|---|---|
| Medicare Enrollment ID | O20190401000101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891259511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Michele Davis Dryerman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013489442 PECOS PAC ID: 9931440930 Enrollment ID: I20190401000213 |
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