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Organization

SNFPSYCHPROVIDER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. NICHOLAS SILAO APN (COORDINATOR)
(201) 687-7167
Entity
Organization

Contact information

Practice address
751 BERGEN AVE, STE 100, JERSEY CITY, NJ 07306-4705
(201) 687-7167
(201) 653-0917
Mailing address
751 BERGEN AVE, STE 100, JERSEY CITY, NJ 07306-4705
(201) 687-7167
(201) 653-0917

Taxonomy

Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary

Other

Enumeration date
01/27/2025
Last updated
01/27/2025
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