Organization
RISE GROUP CARE PC
Active
Organization
RISE GROUP CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANGEET KHANNA MD (PROVIDER)
(347) 278-4567
Entity
Organization
Contact information
Practice address
8 LOMBARDY ST STE 110, NEWARK, NJ 07102-3210
(201) 500-9755
Mailing address
8 LOMBARDY ST STE 110, NEWARK, NJ 07102-3210
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
—
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
11/02/2021
Last updated
01/07/2025
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