# EDLIRA GORA

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

## Provider details

- **NPI number:** 1457884033
- **Authorized official:** EDLIRA GORA LSW (CLINICIAN)
- **Authorized official phone:** (201) 797-2660

## Contact information

- **Practice address:** 17-07 ROMAINE ST, FAIR LAWN, NJ 07410-2150
- **Practice address phone:** (201) 797-2660
- **Mailing address:** 610 VALLEY HEALTH PLZ, PARAMUS, NJ 07652-3607
- **Mailing address phone:** (201) 797-2660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 44SL06263200 | NJ | Yes |

## Other

- **Enumeration date:** 04/10/2017
- **Last updated:** 04/10/2017