Baker Street Mind Health, LLC
Psychiatry & Neurology, Psychiatry in Paramus, NJ. Organization (NPI-2).
NPI number1083488134
StatusActive
Last updated in NPPESNov 9, 2023
Details
- NPI
- 1083488134
- Entity type
- Organization (NPI-2)
- Legal business name
- Baker Street Mind Health, LLC
- Organization subpart
- No
- Enumeration date
- Nov 9, 2023
- Certification date
- Nov 9, 2023
- Last updated
- Nov 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
Practice location
12 Madison Ave Ste 306Paramus, NJ 07652-2705
Phone 201-381-6136 · Fax 201-660-8271
Mailing address
851 Franklin Lake Rd Ste 204Franklin Lakes, NJ 07417-2267
Phone 201-381-6136 · Fax 201-660-8271
Authorized official
Joseph Galasso
President
2013816136
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