Individual
NICOLE YAEL MERENSZTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
293 PASSAIC ST, PASSAIC, NJ 07055-5803
(973) 916-0002
(973) 916-0027
Mailing address
293 PASSAIC ST, PASSAIC, NJ 07055-5803
(973) 916-0002
(973) 916-0027
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00531000
NJ
Other
Enumeration date
08/09/2019
Last updated
08/20/2020
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