North Star Behavioral Health | |
354 Avenue C Bayonne NJ 07002-1412 | |
(201) 535-5959 | |
(201) 535-5961 |
Full Name | North Star Behavioral Health |
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Speciality | Clinic/Center |
Location | 354 Avenue C, Bayonne, New Jersey |
Authorized Official Name and Position | Paul Hriso (MEDICAL DIRECTOR) |
Authorized Official Contact | 2013205844 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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North Star Behavioral Health 354 Avenue C Bayonne NJ 07002-1412 Ph: (201) 535-5959 | North Star Behavioral Health 354 Avenue C Bayonne NJ 07002-1412 Ph: (201) 535-5959 |
NPI Number | 1306273644 |
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Provider Enumeration Date | 10/01/2013 |
Last Update Date | 10/01/2013 |
Medicare PECOS PAC ID | 2264664747 |
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Medicare Enrollment ID | O20140416000240 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306273644 | NPI | - | NPPES |
2000577 | Other | NJ | STATE LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | 2000577 (New Jersey) | Primary |
Provider Name | Emmanuel Hriso |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1942217328 PECOS PAC ID: 5092714022 Enrollment ID: I20061220000223 |
Provider Name | Irma B Terron |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1275927956 PECOS PAC ID: 8426376591 Enrollment ID: I20150422000146 |
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