| Emmanuel Hriso Md Pa | |
|
54 Main St Woodbridge NJ 07095-2816 | |
| (732) 855-1199 | |
| (732) 855-1138 |
| Full Name | Emmanuel Hriso Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 54 Main St, Woodbridge, New Jersey |
| Authorized Official Name and Position | Emmanuel Hriso (OWNER) |
| Authorized Official Contact | 2014364080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emmanuel Hriso Md Pa 380 Mountain Rd Apt 1003 Union City NJ 07087-7306 Ph: (201) 436-4080 | Emmanuel Hriso Md Pa 54 Main St Woodbridge NJ 07095-2816 Ph: (732) 855-1199 |
| NPI Number | 1124033089 |
|---|---|
| Provider Enumeration Date | 07/29/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4183624828 |
|---|---|
| Medicare Enrollment ID | O20070103000484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124033089 | NPI | - | NPPES |
| 4521501 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Emmanuel Hriso |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942217328 PECOS PAC ID: 5092714022 Enrollment ID: I20061220000223 |
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