| Gioconda Aesthetics Inc | |
|
1350 15th St Apt 15m Fort Lee NJ 07024-2030 | |
| (908) 670-3322 | |
| Not Available |
| Full Name | Gioconda Aesthetics Inc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1350 15th St Apt 15m, Fort Lee, New Jersey |
| Authorized Official Name and Position | Lana Bukley (PRESIDENT) |
| Authorized Official Contact | 9086703322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gioconda Aesthetics Inc 1350 15th St Apt 15m Fort Lee NJ 07024-2030 Ph: (908) 670-3322 | Gioconda Aesthetics Inc 1350 15th St Apt 15m Fort Lee NJ 07024-2030 Ph: (908) 670-3322 |
| NPI Number | 1346902996 |
|---|---|
| Provider Enumeration Date | 10/12/2021 |
| Last Update Date | 10/12/2021 |
| Certification Date | 10/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346902996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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