| Tony And Ava Llc | |
|
320 S Harrison St Apt 20h East Orange NJ 07018-1335 | |
| (973) 223-2950 | |
| Not Available |
| Full Name | Tony And Ava Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 320 S Harrison St Apt 20h, East Orange, New Jersey |
| Authorized Official Name and Position | Marilyn Iacoviello (OWNER) |
| Authorized Official Contact | 9732232950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tony And Ava Llc 320 S Harrison St Apt 20h East Orange NJ 07018-1335 Ph: (973) 223-2950 | Tony And Ava Llc 320 S Harrison St Apt 20h East Orange NJ 07018-1335 Ph: (973) 223-2950 |
| NPI Number | 1427929405 |
|---|---|
| Provider Enumeration Date | 09/15/2025 |
| Last Update Date | 01/26/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427929405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Secondary |
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