| Philmore Associates, Llc | |
|
1 Franklin Ave Suite 202 Nutley NJ 07110-3202 | |
| (973) 667-6074 | |
| (973) 751-1626 |
| Full Name | Philmore Associates, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1 Franklin Ave, Nutley, New Jersey |
| Authorized Official Name and Position | Lori R Ippolito (OWNER) |
| Authorized Official Contact | 9736676074 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Philmore Associates, Llc One Franklin Avenue Po Box 599 Nutley NJ 07110-0599 Ph: (973) 667-6074 | Philmore Associates, Llc 1 Franklin Ave Suite 202 Nutley NJ 07110-3202 Ph: (973) 667-6074 |
| NPI Number | 1770031114 |
|---|---|
| Provider Enumeration Date | 09/14/2016 |
| Last Update Date | 12/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770031114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC00042000 (New Jersey) | Primary |
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