Organization · NPI-2

Center For Neurocognitive Therapy, LLC

Psychiatry & Neurology, Neurology · Hackensack, NJ

NPI number1851098008
StatusActive
Last updated in NPPESFeb 8, 2023

Details

NPI
1851098008
Entity type
Organization (NPI-2)
Legal business name
Center For Neurocognitive Therapy, LLC
Organization subpart
No
Enumeration date
Feb 8, 2023
Certification date
Feb 8, 2023
Last updated
Feb 8, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, Neurology––Yes
2084N0600X ––
2084S0012X Psychiatry & Neurology, Sleep Medicine––
2084E0001X Psychiatry & Neurology, Epilepsy––

Practice location

381 Park Street
Suite 2b
Hackensack, NJ 07601-4350

Phone 201-968-5097 · Fax 201-464-2278

Mailing address

Po Box 1447
Englewood Cliffs, NJ 07632-1447

Phone 201-967-8425 · Fax 201-967-8443

Authorized official

Georges Ghacibeh
M.D.
2019685097

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