Kenneth A Citak is a Neurology in Ridgewood, New Jersey. Kenneth A Citak practices all healthcare services and medical treatments related to Neurology. The NPI Number for Kenneth A Citak is 1578527941. The last update date is 2023-07-19.
Kenneth A Citak's current location address is 1200 East Ridgewood Ave, Ridgewood, New Jersey. You can contact this provider via phone number 2014440868 and fax number 2014930797. The mailing address for Kenneth A Citak is 1200 East Ridgewood Ave, Ridgewood, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth A Citak |
|---|---|
| Address | 1200 East Ridgewood Ave, Ridgewood, New Jersey |
| Phone Number | 2014440868 |
| Fax Number | 2014930797 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1578527941 |
|---|---|
| Provider Enumeration Date | 2006-04-13 |
| Last Updated Date | 2023-07-19 |
Provider Mailing Address Detail
| Address | 1200 East Ridgewood Ave |
|---|---|
| City | Ridgewood |
| State | New Jersey (NJ) |
| Post Code | 7450 |
| Phone Number | 2014440868 |
| Fax Number | 2014930797 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
| Licence No | MA55879 |
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Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4574206 | NJ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kenneth A Citak by the Centers for Medicare & Medicaid Services (CMS)?
The Kenneth A Citak has been assigned the NPI (National Provider Identifier) 1578527941. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Kenneth A Citak is physically located?
The Kenneth A Citak is physically situated at the following address: 1200 East Ridgewood Ave, Ridgewood, NJ, 7450.
What is Kenneth A Citak's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kenneth A Citak is Neurology, and the taxonomy code that classifies this field of practice is 2084N0400X.
When did the Kenneth A Citak receive its 1578527941?
The Kenneth A Citak was issued its 1578527941 on 2006-04-13, which is the date when the organization was assigned this unique identifier.
When was the information regarding Kenneth A Citak, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kenneth A Citak, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-07-19.
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