Vicarisi Jr, Benedict

Vicarisi Jr, Benedict is an sole proprietor health care provider with primary practice located at 395 Pleasant Valley Way , West Orange NJ 07052-2905. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Vicarisi Jr, Benedict can be contacted via phone (973) 495-1818.

Contact Information

Primary practice address
395 Pleasant Valley Way West Orange NJ 07052-2905
Phone: (973) 495-1818
Fax: (973) 495-1818
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X PC01046 New Jersey
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X FI0014959 New Jersey

Profile Details

NPI number 1144328931
LBN Legal business name Vicarisi Jr, Benedict
Credentials ED.S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Nov 22nd, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144328931 NPPES
New Jersey Other 232752 HEALTH NET MANAGED CARE
New Jersey Other 490655000 HEALTH NET MANAGED CARE
New Jersey Other P2728931 HEALTH NET MANAGED CARE

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