Individual
INDIGO M CINBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 S 5TH ST APT 4135, HARRISON, NJ 07029-2068
(862) 930-9596
Mailing address
1200 S 5TH ST APT 4135, HARRISON, NJ 07029-2068
(862) 930-9596
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05986600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83-2885664
IRS
NJ
Enumeration date
07/23/2021
Last updated
07/23/2021
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