Provider Demographics
NPI:1235995267
Name:CEDAR KNOLL LLC
Entity Type:Organization
Organization Name:CEDAR KNOLL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSET MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHAIM
Authorized Official - Middle Name:
Authorized Official - Last Name:ROTTENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-522-5970
Mailing Address - Street 1:150 AIRPORT RD STE 900
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-6988
Mailing Address - Country:US
Mailing Address - Phone:732-370-4030
Mailing Address - Fax:732-370-3013
Practice Address - Street 1:255 PENNSYLVANIA BLVD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15228-2224
Practice Address - Country:US
Practice Address - Phone:732-370-4030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital