John Robert Corbisiero in Ridgewood - Clinical
John Robert Corbisiero - NPI 1275576308
John Robert Corbisiero is a Clinical in Ridgewood, New Jersey. John Robert Corbisiero practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Robert Corbisiero is 1275576308. The last update date is 2014-04-15.
John Robert Corbisiero's current location address is 179 S Maple Ave, Ridgewood, New Jersey. You can contact this provider via phone number 2014450662 and fax number 2014459073. The mailing address for John Robert Corbisiero is 179 S Maple Ave, Ridgewood, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Robert Corbisiero |
|---|---|
| Address | 179 S Maple Ave, Ridgewood, New Jersey |
| Phone Number | 2014450662 |
| Fax Number | 2014459073 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1275576308 |
|---|---|
| Provider Enumeration Date | 2006-06-14 |
| Last Updated Date | 2014-04-15 |
Provider Mailing Address Detail
| Address | 179 S Maple Ave |
|---|---|
| City | Ridgewood |
| State | New Jersey (NJ) |
| Post Code | 74504541 |
| Phone Number | 2014450662 |
| Fax Number | 2014459073 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2586 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the John Robert Corbisiero's unique identification number?
The John Robert Corbisiero has been assigned the NPI (National Provider Identifier) Number 1275576308 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where John Robert Corbisiero is physically located?
The John Robert Corbisiero is physically situated at the following address: 179 S Maple Ave, Ridgewood, NJ, 74504541.
What is John Robert Corbisiero's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for John Robert Corbisiero is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1275576308 to John Robert Corbisiero?
The John Robert Corbisiero received its 1275576308 assignment from the Centers for Medicare & Medicaid Services on 2006-06-14.
When was the information regarding John Robert Corbisiero most recently updated?
The details pertaining to the John Robert Corbisiero, including its address, specialty, and other relevant information, were last refreshed on 2014-04-15.