North Jersey Behavioral Medicine, Llc. | |
2 Executive Dr Suite 665 Fort Lee NJ 07024-3308 | |
(201) 669-2880 | |
(718) 504-4122 |
Full Name | North Jersey Behavioral Medicine, Llc. |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 2 Executive Dr, Fort Lee, New Jersey |
Authorized Official Name and Position | Mona S. Ismail (OWNER) |
Authorized Official Contact | 2016692880 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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North Jersey Behavioral Medicine, Llc. 1225 River Rd #8-d Edgewater NJ 07020-1459 Ph: (201) 669-2880 | North Jersey Behavioral Medicine, Llc. 2 Executive Dr Suite 665 Fort Lee NJ 07024-3308 Ph: (201) 669-2880 |
NPI Number | 1780803452 |
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Provider Enumeration Date | 04/24/2007 |
Last Update Date | 05/01/2008 |
Identifier | Type | State | Issuer |
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1780803452 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Secondary |
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