Damon Deckelman Delston in Jersey City - Psychiatry

Damon Deckelman Delston - NPI 1720297963

Damon Deckelman Delston is a Psychiatry in Jersey City, New Jersey. Damon Deckelman Delston practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Damon Deckelman Delston is 1720297963. The last update date is 2007-07-08.

Damon Deckelman Delston's current location address is 665 Newark Avenue, Jersey City, New Jersey. You can contact this provider via phone number 2019639331 and fax number 2125819860. The mailing address for Damon Deckelman Delston is 665 Newark Avenue, Jersey City, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Damon Deckelman Delston
Address 665 Newark Avenue, Jersey City, New Jersey
Phone Number 2019639331
Fax Number 2125819860
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1720297963
Provider Enumeration Date 2007-05-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 665 Newark Avenue
City Jersey City
State New Jersey (NJ)
Post Code 7306
Phone Number 2019639331
Fax Number 2125819860

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No 25MA04401600
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7151501 NJ --
J001208 CHAMPUS

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FAQs about Damon Deckelman Delston

What is the unique 10-digit identifier code assigned to Damon Deckelman Delston by the Centers for Medicare & Medicaid Services?

The Damon Deckelman Delston has been issued the NPI (National Provider Identifier) 1720297963 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Damon Deckelman Delston is physically located?

The Damon Deckelman Delston is physically situated at the following address: 665 Newark Avenue, Jersey City, NJ, 7306.

What is Damon Deckelman Delston's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Damon Deckelman Delston is Psychiatry, and the taxonomy classification code that categorizes this area of expertise is 2084P0800X.

On what date was the 1720297963 assigned to Damon Deckelman Delston?

The Damon Deckelman Delston was issued its 1720297963 on 2007-05-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Damon Deckelman Delston most recently updated or refreshed?

The details pertaining to the Damon Deckelman Delston, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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