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Tony Chukwueke, PTA
Child Intellectual and/or Developmental Disabilities Respite Care in Linden, New Jersey
NPI 1023239605

Tony Chukwueke is a Child Intellectual and/or Developmental Disabilities Respite Care based in Linden, NJ and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Tony Chukwueke practices in Linden, NJ and has the professional credentials of PTA. The NPI Number for Tony Chukwueke is 1023239605 and holds a License No. 005317-1 (New Jersey).

The current practice location address for Tony Chukwueke is 15 West 18Th Street, Linden, NJ and can be reached out via phone at 845-564-9853 and via fax at 845-564-6974.

Location: 15 West 18Th Street, Linden, NJ, 07036
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023239605
Provider Name
Tony Chukwueke
Credential
PTA
Provider Entity Type
Individual
Gender
Male
Address
15 West 18Th Street, Linden, NJ, 07036
Phone Number
845-564-9853
Fax Number
845-564-6974
Provider Enumeration Date
05/01/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
005317-1 01 NY PTA LICENSE
institution
Provider Business Practice Location Address Details
Address
15 West 18Th Street
City
Linden
State
New Jersey
Zip
07036
Phone Number
845-564-9853
Fax Number
845-564-6974
person
Provider Business Mailing Address Details
Address
15 West 18Th Street
City
Linden
State
New Jersey
Zip
07036
Phone Number
845-564-9853
Fax Number
845-564-6974
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
385HR2060X
License No.
005317-1 (New York)
Definition
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
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