Prospect Psychiatric Services Limited Liability Company | |
344 Prospect Ave Apt 1a Hackensack NJ 07601-2602 | |
(917) 330-3955 | |
Not Available |
Full Name | Prospect Psychiatric Services Limited Liability Company |
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Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 344 Prospect Ave Apt 1a, Hackensack, New Jersey |
Authorized Official Name and Position | Indhira F Almonte (OWNER) |
Authorized Official Contact | 9173303955 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Prospect Psychiatric Services Limited Liability Company 344 Prospect Ave Apt 1a Hackensack NJ 07601-2602 Ph: () - | Prospect Psychiatric Services Limited Liability Company 344 Prospect Ave Apt 1a Hackensack NJ 07601-2602 Ph: (917) 330-3955 |
NPI Number | 1184963837 |
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Provider Enumeration Date | 01/31/2013 |
Last Update Date | 02/01/2013 |
Identifier | Type | State | Issuer |
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1184963837 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 25MA09230100 (New Jersey) | Primary |
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