Organization
KINGSBORO PSYCHIATRIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DASEN M. BRAJKOVIC MD (ATTENDING PHYSICIAN)
(718) 221-7391
Entity
Organization
Contact information
Practice address
24 LAUREL AVENUE, TENAFLY, NJ 07670
(201) 568-5395
Mailing address
24 LAUREL AVENUE, TENAFLY, NJ 07670
(201) 568-5395
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
09/28/2006
Last updated
08/22/2020
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