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NPI Code Detail

MEDICARE: NAYAD ALTINCATAL LAC

MEDICARE: NAYAD ALTINCATAL LAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor37AC00820600NJ

General Provider Information

NPI Number : 1245185313
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAYAD ALTINCATAL LAC
Provider Business Mailing Address
First Line : 170 PALISADE AVE APT 4
Second Line :
City : CLIFFSIDE PARK
State : NJ
Zip : 07010-2440
Country : US
Telephone Number : 201-673-8907
Fax Number :
Provider Business Practice Location Address
First Line : 120 CHESTNUT ST
Second Line :
City : RIDGEWOOD
State : NJ
Zip : 07450-2504
Country : US
Telephone Number : 201-444-3550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2026
Last Update Date : 03/04/2026

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Directions to “ NAYAD ALTINCATAL LAC” Practice Location

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