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Individual

DR. YOLONDA PICKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, MS

Contact information

Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(404) 272-0793
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-1243

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
236756
NY
2084P0800X
Psychiatry Physician
Primary
25MA10961500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02731753
NY
Enumeration date
11/08/2006
Last updated
03/11/2021
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