LIBERTY CHILD AND ADOLESCENT HEALTH SERVICES is a specialist in Jersey City, NJ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. LIBERTY CHILD AND ADOLESCENT HEALTH SERVICES NPI is 1003812728. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
550 NEWARK AVE JERSEY CITY, NJ ZIP 07306-326 Phone: (201) 714-7902
The provider's authorized official is Richard J Bonforte . The authorized official title is President and has the following contact phone number (201) 714-7903.
The enumeration date for this NPI number is 6/27/2005 and was last updated on 8/22/2020.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 3/30/2025
NPI Synchronization or Removal
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