Organization
NESIVOS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOSHE TENDLER (EXECUTIVE DIRECTOR)
(732) 966-4835
Entity
Organization
Contact information
Practice address
681 RIVER AVE STE 2C2D, LAKEWOOD, NJ 08701-5229
(732) 534-7800
Mailing address
681 RIVER AVE STE 2C2D, LAKEWOOD, NJ 08701-5229
(732) 534-7800
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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