| Skylight Psychedelics, Llc | |
|
30 Riveredge Rd Ste 2 Tenafly NJ 07670-3212 | |
| (917) 446-6829 | |
| (646) 349-4435 |
| Full Name | Skylight Psychedelics, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 30 Riveredge Rd Ste 2, Tenafly, New Jersey |
| Authorized Official Name and Position | Dana Lerman (OWNER) |
| Authorized Official Contact | 6469824809 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Skylight Psychedelics, Llc 30 Riveredge Rd Ste 2 Tenafly NJ 07670-3212 Ph: (917) 446-6829 | Skylight Psychedelics, Llc 30 Riveredge Rd Ste 2 Tenafly NJ 07670-3212 Ph: (917) 446-6829 |
| NPI Number | 1922872662 |
|---|---|
| Provider Enumeration Date | 11/13/2023 |
| Last Update Date | 04/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922872662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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