# MEDICAL ALLIANCE OF NEW JERSEY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215454905
- **Authorized official:** NAFTALI TYBERG (GENAREL MANAGER)
- **Authorized official phone:** (347) 988-5822

## Contact information

- **Practice address:** 4806 11TH AVE, BROOKLYN, NY 11219-2931
- **Practice address phone:** (347) 988-5822
- **Mailing address:** 4806 11TH AVE, BROOKLYN, NY 11219-2931

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 25MA04527600 | NJ | Yes |

## Other

- **Enumeration date:** 08/24/2017
- **Last updated:** 08/24/2017