| St. Luke's Counseling Medical Center L.l.c. | |
|
59 Seeley Ave Kearny NJ 07032-3120 | |
| (201) 428-1040 | |
| (201) 428-1161 |
| Full Name | St. Luke's Counseling Medical Center L.l.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 59 Seeley Ave, Kearny, New Jersey |
| Authorized Official Name and Position | Joseph G.a. Ibrahim (OWNER) |
| Authorized Official Contact | 2017793320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Luke's Counseling Medical Center L.l.c. 59 Seeley Ave Kearny NJ 07032-3120 Ph: (201) 428-1040 | St. Luke's Counseling Medical Center L.l.c. 59 Seeley Ave Kearny NJ 07032-3120 Ph: (201) 428-1040 |
| NPI Number | 1154888162 |
|---|---|
| Provider Enumeration Date | 02/26/2019 |
| Last Update Date | 02/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154888162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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