| Sally Attia, Llc | |
|
14 Meyer Ct West Orange NJ 07052-1134 | |
| (973) 750-8660 | |
| Not Available |
| Full Name | Sally Attia, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 14 Meyer Ct, West Orange, New Jersey |
| Authorized Official Name and Position | Sally Attia (OWNER) |
| Authorized Official Contact | 9737508660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sally Attia, Llc 14 Meyer Ct West Orange NJ 07052-1134 Ph: (973) 750-8660 | Sally Attia, Llc 14 Meyer Ct West Orange NJ 07052-1134 Ph: (973) 750-8660 |
| NPI Number | 1568071835 |
|---|---|
| Provider Enumeration Date | 07/23/2020 |
| Last Update Date | 07/23/2020 |
| Certification Date | 07/23/2020 |
| Medicare PECOS PAC ID | 3678990041 |
|---|---|
| Medicare Enrollment ID | O20200831001618 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568071835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sally Attia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467415349 PECOS PAC ID: 4587081955 Enrollment ID: I20200831001736 |
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