Individual
ELISSA BERKOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
92 2ND ST, HACKENSACK, NJ 07601-2191
(551) 996-8647
Mailing address
92 2ND ST, HACKENSACK, NJ 07601-2191
(551) 996-8647
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00691800
NJ
363L00000X
Nurse Practitioner
F430956-1
NY
Other
Enumeration date
04/18/2016
Last updated
08/22/2024
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