| The Center For Purposeful Aging | |
|
1029 Teaneck Rd Teaneck NJ 07666-4514 | |
| (917) 841-5343 | |
| Not Available |
| Full Name | The Center For Purposeful Aging |
|---|---|
| Speciality | Social Worker |
| Location | 1029 Teaneck Rd, Teaneck, New Jersey |
| Authorized Official Name and Position | Sarah Hiller (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9178415343 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center For Purposeful Aging 1029 Teaneck Rd Teaneck NJ 07666-4514 Ph: () - | The Center For Purposeful Aging 1029 Teaneck Rd Teaneck NJ 07666-4514 Ph: (917) 841-5343 |
| NPI Number | 1811547276 |
|---|---|
| Provider Enumeration Date | 09/18/2019 |
| Last Update Date | 01/02/2020 |
| Certification Date | 01/02/2020 |
| Medicare PECOS PAC ID | 5991139628 |
|---|---|
| Medicare Enrollment ID | O20200106000110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811547276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sarah C. Hiller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124319785 PECOS PAC ID: 8325205586 Enrollment ID: I20120131000676 |
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