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NPI Code Detail

MEDICARE: ARELLANO & BERRIO, LLC

MEDICARE: ARELLANO & BERRIO, LLC
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
11041C0700XClinical Social Worker44SC04597700NJ

General Provider Information

NPI Number : 1992923841
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARELLANO & BERRIO, LLC
Provider Business Mailing Address
First Line : 615 PAVONIA AVE
Second Line : # 1
City : JERSEY CITY
State : NJ
Zip : 07306-2923
Country : US
Telephone Number : 201-610-9466
Fax Number : 201-610-0801
Provider Business Practice Location Address
First Line : 615 PAVONIA AVE
Second Line : # 1
City : JERSEY CITY
State : NJ
Zip : 07306-2923
Country : US
Telephone Number : 201-610-9466
Fax Number : 201-610-0801
Authorized Official
Title or Position : PRESIDENT
Name : MS. ELSA ALICIA ARELLANO SR.
Credential : LCSW
Telephone Number : 201-610-9466
Provider Enumeration Date : 04/23/2007
Last Update Date : 09/16/2008

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Directions to “ARELLANO & BERRIO, LLC ” Practice Location

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