Asya Rivinson, Lcsw, Pc | |
697 Valley St Ste B1 Maplewood NJ 07040-2645 | |
(800) 870-6244 | |
Not Available |
Full Name | Asya Rivinson, Lcsw, Pc |
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Speciality | Clinic/center |
Location | 697 Valley St Ste B1, Maplewood, New Jersey |
Authorized Official Name and Position | Asya Rivinson (OWNER) |
Authorized Official Contact | 8008706244 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Asya Rivinson, Lcsw, Pc 96 Elm St Millburn NJ 07041-2112 Ph: (800) 870-6244 | Asya Rivinson, Lcsw, Pc 697 Valley St Ste B1 Maplewood NJ 07040-2645 Ph: (800) 870-6244 |
NPI Number | 1932640380 |
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Provider Enumeration Date | 03/19/2017 |
Last Update Date | 03/19/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932640380 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 44SC05647900 (New Jersey) | Primary |
261Q00000X | Clinic/center | 079083 (New York) | Secondary |
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