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9 S Main St Ste 2a Marlboro NJ 07746-1539 | |
| (737) 329-7787 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 9 S Main St Ste 2a, Marlboro, New Jersey |
| Authorized Official Name and Position | Zisa Belfer (OWNER) |
| Authorized Official Contact | 7329778799 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
9 S Main St Marlboro NJ 07746-1539 Ph: (737) 329-7787 | 9 S Main St Ste 2a Marlboro NJ 07746-1539 Ph: (737) 329-7787 |
| NPI Number | 1568202737 |
|---|---|
| Provider Enumeration Date | 05/27/2024 |
| Last Update Date | 10/31/2024 |
| Certification Date | 10/31/2024 |
| Medicare PECOS PAC ID | 0446783443 |
|---|---|
| Medicare Enrollment ID | O20241108002306 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568202737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Primary |
| Provider Name | Zisa Belfer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851857619 PECOS PAC ID: 7618402033 Enrollment ID: I20241122004144 |
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