NPI 1528592367
Zhanna Radevich
Practice location
- Address
- 172 Palisade Ave, Bogota, NJ 07603
- Phone
- (201) 880-5188
- Mailing address
- 172 Palisade Ave, Bogota, NJ 07603-1634
Registered specialties
Early Intervention Provider Agency
Primary
Registry record
- NPI
- 1528592367
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 19 Apr 2017
- Record last updated
- 19 Apr 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.