Individual
ELYSE ZUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16 POMPTON AVE, POMPTON LAKES, NJ 07442-1895
(973) 835-6337
Mailing address
846 SCIOTO DR, FRANKLIN LAKES, NJ 07417-2822
(201) 741-1007
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00186100
NJ
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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