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Chaya Back
NPI 1760782015 · on the registry since 2010 · sole proprietor
Practice
- Address
- 750 N Broad St Apt 1j
Elizabeth, NJ 07208 - Phone
- (732) 267-3988
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-11-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey