| New Lifestyle Medical Pa | |
|
19-21 Fair Lawn Ave Ste 2e Fair Lawn NJ 07410-2331 | |
| (201) 468-8808 | |
| (201) 815-2520 |
| Full Name | New Lifestyle Medical Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Medicine |
| Location | 19-21 Fair Lawn Ave, Fair Lawn, New Jersey |
| Authorized Official Name and Position | Igor Gefter (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2014688808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Lifestyle Medical Pa 19-21 Fair Lawn Ave Ste 2e Fair Lawn NJ 07410-2331 Ph: (201) 468-8808 | New Lifestyle Medical Pa 19-21 Fair Lawn Ave Ste 2e Fair Lawn NJ 07410-2331 Ph: (201) 468-8808 |
| NPI Number | 1134563802 |
|---|---|
| Provider Enumeration Date | 04/24/2013 |
| Last Update Date | 01/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134563802 | NPI | - | NPPES |
| 0348341 | Medicaid | NJ |
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