Individual
IDIR SARADOUNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3807 BERGENLINE AVE, UNION CITY, NJ 07087-4860
(201) 691-4828
Mailing address
3807 BERGENLINE AVE, UNION CITY, NJ 07087-4860
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR18611300
NJ
163W00000X
Registered Nurse
710574
NY
363LF0000X
Family Nurse Practitioner
Primary
26NJ00935500
NJ
363LF0000X
Family Nurse Practitioner
344028
NY
Other
Enumeration date
11/20/2017
Last updated
07/23/2026
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