Iconic Wellness Surgical Services

LBN: Iconic Wellness Surgical Services
Iconic Wellness Surgical Services is an health care organization with primary practice located at 139 Harristown Rd Ste 205, Glen Rock NJ 07452-3312. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as the primary health care specialty. Iconic Wellness Surgical Services can be contacted via phone (201) 444-1645, or through Fayzulayev, Sadyk via phone (201) 444-1645.

Contact Information

Primary practice address
139 Harristown Rd Ste 205 Glen Rock NJ 07452-3312
Phone: (201) 444-1645
Fax: (201) 444-1787
Website:
Map and Directions
Authorized official contact:
Name: Fayzulayev, Sadyk Physician Assistant (PA)
Phone: (201) 444-1645

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 25MP00262900 New Jersey

Profile Details

NPI number 1316303035
LBN Legal business name Iconic Wellness Surgical Services
DBA Doing business as
Authorized official Fayzulayev, Sadyk Physician Assistant (PA)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2016
Last updated Jan 11th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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