| Nexgen Biologics Llc | |
|
164 Engle St Tenafly NJ 07670-2756 | |
| (201) 403-5673 | |
| Not Available |
| Full Name | Nexgen Biologics Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 164 Engle St, Tenafly, New Jersey |
| Authorized Official Name and Position | Brandon M Kotlyarsky (OWNER) |
| Authorized Official Contact | 2014035673 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nexgen Biologics Llc 164 Engle St Tenafly NJ 07670-2756 Ph: (201) 403-5673 | Nexgen Biologics Llc 164 Engle St Tenafly NJ 07670-2756 Ph: (201) 403-5673 |
| NPI Number | 1013418300 |
|---|---|
| Provider Enumeration Date | 02/22/2018 |
| Last Update Date | 06/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013418300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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