Hackensack Psychiatric Group Llc | |
211 Essex St Ste 204 Hackensack NJ 07601-3245 | |
(201) 487-1240 | |
(201) 487-1241 |
Full Name | Hackensack Psychiatric Group Llc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 211 Essex St Ste 204, Hackensack, New Jersey |
Authorized Official Name and Position | Jennifer Cruz (AUTHORIZED DELEGATED OFFICIAL) |
Authorized Official Contact | 2014871240 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hackensack Psychiatric Group Llc 211 Essex St Ste 204 Hackensack NJ 07601-3245 Ph: (201) 487-1240 | Hackensack Psychiatric Group Llc 211 Essex St Ste 204 Hackensack NJ 07601-3245 Ph: (201) 487-1240 |
NPI Number | 1063994960 |
---|---|
Provider Enumeration Date | 09/06/2018 |
Last Update Date | 12/27/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063994960 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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