Neighborhood Family Clinic And Counseling Center, Llc | |
46 Crystal Ave West Orange NJ 07052-3546 | |
(201) 362-9916 | |
Not Available |
Full Name | Neighborhood Family Clinic And Counseling Center, Llc |
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Speciality | Clinic/Center |
Location | 46 Crystal Ave, West Orange, New Jersey |
Authorized Official Name and Position | Callista N Iwuala (OWNER) |
Authorized Official Contact | 2013629916 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Neighborhood Family Clinic And Counseling Center, Llc 46 Crystal Ave West Orange NJ 07052-3546 Ph: (201) 362-9916 | Neighborhood Family Clinic And Counseling Center, Llc 46 Crystal Ave West Orange NJ 07052-3546 Ph: (201) 362-9916 |
NPI Number | 1043780117 |
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Provider Enumeration Date | 11/30/2018 |
Last Update Date | 11/30/2018 |
Medicare PECOS PAC ID | 6002140068 |
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Medicare Enrollment ID | O20190625001503 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043780117 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Callista Iwuala |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841566486 PECOS PAC ID: 7012173479 Enrollment ID: I20120730000564 |
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