| Dima Vicital, | |
|
55 Meadowlands Pkwy, Secaucus, NJ 07094-2977 | |
| (551) 277-4441 | |
| Not Available |
| Full Name | Dima Vicital |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 55 Meadowlands Pkwy, Secaucus, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083218168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Entity Name | Daniel Korya Md Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427512722 PECOS PAC ID: 8820339310 Enrollment ID: O20190410001562 |
| Mailing Address | Practice Location Address |
|---|---|
| Dima Vicital, 95 Chapel Hill Rd, Lincoln Park, NJ 07035-1921 Ph: () - | Dima Vicital, 55 Meadowlands Pkwy, Secaucus, NJ 07094-2977 Ph: (551) 277-4441 |
Paulette Forbes, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 595 County Ave Bldg 6, Secaucus, NJ 07094 Phone: 973-623-0600 | |
Arenzo Smith, LPC, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 595 County Ave Bldg 7, Secaucus, NJ 07094 Phone: 201-617-2718 | |
Luis Ernesto Arevalo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Harmon Meadow Blvd Fl 4, Secaucus, NJ 07094 Phone: 201-590-6700 | |
Gregory Lamont Holmes, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 595 County Ave Bldg 7, Secaucus, NJ 07094 Phone: 973-623-0600 | |
Alexa Kearney, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 55 Meadowlands Pkwy, Secaucus, NJ 07094 Phone: 201-392-3238 | |
Karen Ceraso, Counselor Medicare: Not Enrolled in Medicare Practice Location: 595 County Ave Bldg 61, Secaucus, NJ 07094 Phone: 201-583-7100 |