Search › New Jersey › 103TS0200X
Ida Jeltova, PH.D
NPI 1922298421 · on the registry since 2007 · sole proprietor
Practice
- Address
- 88 W Ridgewood Ave
Ridgewood, NJ 07450 - Phone
- (201) 757-0600
- Fax
- (201) 757-0600
- Organisation at this address
- Great Moments
Our Space Northeast
Robert P Forte Dds Pa
Richard Gaines, Ph.D., Llc
Greatest Moments Counseling, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 25
Additional practice sites
- 150 Executive Park, Nanuet, NY
- 50 Piermont Ave, Nyack, NY
Registry record
- Primary taxonomy
- 103TS0200X
103TS0200X
- Also registered as
- 103TB0200X
103TC0700X - Licence states on file
- NY, NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-10-30
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