Doctor Name: | MR. EMIL JOSEPH VERNAREC |
NPI Number: | 1598060204 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LICENSED ASSOCIATE |
License Number: | 37AC00053300 |
Business Practice Address: | 1801 Greenwood Lake Tpke New Bridge Services Hewitt, NJ - 07421 |
Business Phone Number: | 9737283938 |
Business Fax Number: | 9737287913 |
Mailing Address: | 7 Industrial Rd, New Bridge Service (administrative Office Address) PEQUANNOCK |
State: | NJ |
Postal Code: | 07440 |
Phone Number: | 9738392520 |
Fax Number: | 9736862240 |
NPI Enumeration Date: | 01/12/2011 |
NPI Last Update Date: | 01/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 37AC00053300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |