Organization
OSTELSEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELVIRA MALER ED.D.,LCSW (DIRECTOR)
(201) 873-5575
Entity
Organization
Contact information
Practice address
212 WHITEMAN ST, FORT LEE, NJ 07024-6920
(201) 873-5575
Mailing address
1203 RIVER RD, #9M, EDGEWATER, NJ 07020-1456
(201) 873-5575
Taxonomy
Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
44SC05280200
NJ
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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