Timur Petrishin, PC
Counselor, Professional in Fort Lee, New Jersey
1801521018- Practice location
- 2185 Lemoine Ave Ste 1G, Fort Lee, NJ 07024-6030
- Phone
- 877-959-8180
- Fax
- 866-535-3188
- Last updated
- July 21, 2022
Timur Petrishin is a Counselor, Professional based in Fort Lee, NJ. Timur Petrishin practices in Fort Lee, NJ and has the professional credentials of PC. The NPI Number for Timur Petrishin is 1801521018 and holds a License No. 37PC00825100 (NJ). The current practice location address for Timur Petrishin is 2185 Lemoine Ave Ste 1G, Fort Lee, NJ 07024-6030 and can be reached out via phone at 877-959-8180 and via fax at 866-535-3188.
Provider Profile Details
- NPI Number
- 1801521018
- Provider Name
- Timur Petrishin
- Credential
- PC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2185 Lemoine Ave Ste 1G, Fort Lee, NJ 07024-6030
- Phone Number
- 877-959-8180
- Fax Number
- 866-535-3188
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 21, 2022
- Last Update Date
- July 21, 2022
- Certification Date
- July 21, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2185 Lemoine Ave Ste 1G
Fort Lee, NJ 07024-6030 - City
- Fort Lee
- State
- New Jersey
- Zip
- 07024-6030
- Phone Number
- 877-959-8180
- Fax Number
- 866-535-3188
Provider Business Mailing Address Details
- Address
- 2185 Lemoine Ave Ste 1G
Fort Lee, NJ 07024-6030 - City
- Fort Lee
- State
- NJ
- Zip
- 07024-6030
- Phone Number
- 877-959-8180
- Fax Number
- 866-535-3188
License Information
- License Number
- 37PC00825100
- License State
- NJ
- Taxonomy
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Timur Petrishin, PC?
The NPI number of Timur Petrishin, PC is 1801521018. It was assigned on July 21, 2022 and is currently active in the NPPES registry.
What is the specialty of Timur Petrishin, PC?
Timur Petrishin, PC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NJ under license number 37PC00825100.
Where does Timur Petrishin, PC practice?
The practice location is 2185 Lemoine Ave Ste 1G, Fort Lee, NJ 07024-6030. The office can be reached at 877-959-8180 (phone) or 866-535-3188 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1801521018 directly on the NPPES registry website.