| NPI | 1689998841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEFANIE SARA VAIMAKIS Owner 201-227-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NJ 25mao7456100) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35S100387300) |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2010-03-17 |