Bloomfield Health Pavilion Llc in Newark - Clinical Child & Adolescent
Bloomfield Health Pavilion Llc - NPI 1598781973
Bloomfield Health Pavilion Llc is a Clinical Child & Adolescent in Newark, New Jersey. Bloomfield Health Pavilion Llc practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Bloomfield Health Pavilion Llc is 1598781973. The last update date is 2020-08-22.
Bloomfield Health Pavilion Llc's current location address is 86 Bloomfield Ave, Newark, New Jersey. You can contact this provider via phone number 9732303631 and fax number 9732303474. The mailing address for Bloomfield Health Pavilion Llc is 86 Bloomfield Ave, Newark, New Jersey. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Bloomfield Health Pavilion Llc |
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Address | 86 Bloomfield Ave, Newark, New Jersey |
Phone Number | 9732303631 |
Fax Number | 9732303474 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CEO |
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Authorized Official Name | Vilshteyn Rostislav |
Telephone Number | 7188134556 |
NPI Number Detail
NPI Number | 1598781973 |
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Provider Enumeration Date | 2006-07-15 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 86 Bloomfield Ave |
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City | Newark |
State | New Jersey (NJ) |
Post Code | 71041905 |
Phone Number | 9732303631 |
Fax Number | 9732303474 |
Provider's Primary Taxonomy Detail
Speciality | Clinical Child & Adolescent |
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Taxonomy | 103Tc2200X |
Licence No | 051A267 |
Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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What is the unique 10-digit identification code issued to Bloomfield Health Pavilion Llc by the Centers for Medicare & Medicaid Services?
The Bloomfield Health Pavilion Llc has been assigned the NPI (National Provider Identifier) 1598781973 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Bloomfield Health Pavilion Llc is physically located?
The Bloomfield Health Pavilion Llc is situated at the following address: 86 Bloomfield Ave, Newark, NJ 71041905.
What is the Bloomfield Health Pavilion Llc's specialty and taxonomy code?
The Bloomfield Health Pavilion Llc's specialty is Clinical Child & Adolescent, and the corresponding taxonomy code is 103Tc2200X.
When did Bloomfield Health Pavilion Llc receive its 1598781973 assignment?
The Bloomfield Health Pavilion Llc was assigned its 1598781973 on 2006-07-15, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Bloomfield Health Pavilion Llc most recently updated or revised?
The details related to Bloomfield Health Pavilion Llc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.