Organization
SPECIALIZED THERAPY ASSOCIATES LLC
Active
Parent organization
SPECIALIZED THERAPY ASSOCIATES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECIALIZED THERAPY ASSOCIATES LLC
Authorized official
DR. VANESS GOURDINE (DIRECTOR)
(201) 488-6678
Entity
Organization
Contact information
Practice address
83 SUMMIT AVE, 2ND FLOOR, HACKENSACK, NJ 07601-1262
(201) 488-6678
(201) 342-4346
Mailing address
P.O. BOX 3016, SOUTH HACKENSACK, NJ 07606-3016
(201) 488-6678
(201) 342-4346
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
NJ
2084P0800X
Psychiatry Physician
—
NY
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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