| Nesivos Inc | |
|
681 River Ave Ste 2c2d Lakewood NJ 08701-5229 | |
| (732) 534-7800 | |
| Not Available |
| Full Name | Nesivos Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 681 River Ave Ste 2c2d, Lakewood, New Jersey |
| Authorized Official Name and Position | Moshe Tendler (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7329664835 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nesivos Inc 681 River Ave Ste 2c2d Lakewood NJ 08701-5229 Ph: (732) 534-7800 | Nesivos Inc 681 River Ave Ste 2c2d Lakewood NJ 08701-5229 Ph: (732) 534-7800 |
| NPI Number | 1033829924 |
|---|---|
| Provider Enumeration Date | 12/01/2022 |
| Last Update Date | 12/01/2022 |
| Certification Date | 12/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033829924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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