Organization
PINE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN SHOYKHET (PRINCIPAL)
(201) 873-0943
Entity
Organization
Contact information
Practice address
0-39 PINE AVE, FAIR LAWN, NJ 07410
(201) 873-0943
Mailing address
0-39 PINE AVE, FAIR LAWN, NJ 07410
(201) 873-0943
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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