Individual
AIDA IRIS TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
270 LEHIGH AVE, NEWARK, NJ 07112-1851
(718) 614-2471
Mailing address
270 LEHIGH AVE, NEWARK, NJ 07112-1851
(718) 614-2471
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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