Doctor Name: | DR. MONA S. ISMAIL |
NPI Number: | 1053355834 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 25MA07582300 |
Business Practice Address: | 2 Executive Dr # 665 Fort Lee, NJ - 070243308 |
Business Phone Number: | 2016692880 |
Business Fax Number: | |
Mailing Address: | 1225 River Rd, 8 D EDGEWATER |
State: | NJ |
Postal Code: | 070201459 |
Phone Number: | 2016692880 |
Fax Number: | |
NPI Enumeration Date: | 06/15/2006 |
NPI Last Update Date: | 05/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084P0804X |
License Number: | 25MA07582300 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Child & Adolescent Psychiatry |
Taxonomy Definition: | Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |