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Organization

ELANGOVAN PSYCHIATRIC SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUDY GERDTS (OFFICE MANAGER)
(718) 477-5670
Entity
Organization

Contact information

Practice address
470 PROSPECT AVE STE 202, WEST ORANGE, NJ 07052-4106
(973) 325-5100
(973) 488-7133
Mailing address
1756 RICHMOND AVE, STATEN ISLAND, NY 10314-3902
(718) 477-5670
(973) 488-7133

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
02/24/2022
Last updated
02/24/2022
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