Most Relevant Information
Provider Data
NPI Number: | 1225031370 |
Provider Name: | NENA L SY M.D. |
Entity Type: | Individual |
Taxonomy Code: | 174400000X |
Specialty: | Specialist |
License Number: | MA 26735 |
Most Important Dates
Enumeration Date: | 05/23/2005 |
Last Updated: | 07/27/2007 |
Provider Practice Location
350 BOULEVARD
PASSAIC
NJ
70552840
Practice Location Phone/Fax
Phone: | 9733654300 |
Fax: |
Provider Mailing Location
PO BOX 343
MIDLAND PARK
NJ
74320343
Provider Mailing Phone/Fax
Phone: | 2018042800 |
Fax: |