Organization
HACKENSACK PSYCHIATRIC GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER CRUZ (AUTHORIZED DELEGATED OFFICIAL)
(201) 487-1240
Entity
Organization
Contact information
Practice address
211 ESSEX ST STE 204, HACKENSACK, NJ 07601-3245
(201) 487-1240
(201) 487-1241
Mailing address
211 ESSEX ST STE 204, HACKENSACK, NJ 07601-3245
(201) 487-1240
(201) 487-1241
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/06/2018
Last updated
12/27/2018
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