Shestack, Elliot

Shestack, Elliot is an sole proprietor health care provider with primary practice located at 777 Bloomfield Ave , Clifton NJ 07012-1242. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Shestack, Elliot can be contacted via phone (973) 594-0125.

Contact Information

Primary practice address
777 Bloomfield Ave Clifton NJ 07012-1242
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1558842047
LBN Legal business name Shestack, Elliot
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2018
Last updated Aug 23rd, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers