Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP2500X | Professional Counselor | ||
N | 174V00000X | Clinical Ethicist |
NPI | 1215359252 |
---|---|
Provider Name | Dr. Jojy Cheriyan |
First Address | Bergenfield, NJ 07621-1504 |
Second Address | Bergenfield, NJ 07621-1504 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2014 |
Last Update Date | 10/01/2014 |