| Diana Zamora Phd Pc | |
|
7716 Kennedy Blvd North Bergen NJ 07047-4178 | |
| (917) 687-8292 | |
| Not Available |
| Full Name | Diana Zamora Phd Pc |
|---|---|
| Speciality | Psychologist |
| Location | 7716 Kennedy Blvd, North Bergen, New Jersey |
| Authorized Official Name and Position | Diana Zamora (PRESIDENT) |
| Authorized Official Contact | 9176878292 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Zamora Phd Pc 7716 Kennedy Blvd North Bergen NJ 07047-4178 Ph: (917) 687-8292 | Diana Zamora Phd Pc 7716 Kennedy Blvd North Bergen NJ 07047-4178 Ph: (917) 687-8292 |
| NPI Number | 1184394264 |
|---|---|
| Provider Enumeration Date | 09/20/2021 |
| Last Update Date | 09/20/2021 |
| Certification Date | 09/20/2021 |
| Medicare PECOS PAC ID | 4880083765 |
|---|---|
| Medicare Enrollment ID | O20211115002279 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184394264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Diana Zamora |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942685698 PECOS PAC ID: 5991011553 Enrollment ID: I20211115002430 |
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