Provider Demographics
NPI:1467779850
Name:ELIZABETH KERA PHD LLC
Entity Type:Organization
Organization Name:ELIZABETH KERA PHD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEUROPSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:ANN CURKO
Authorized Official - Last Name:KERA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:201-615-0060
Mailing Address - Street 1:909 BELMONT AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH HALEDON
Mailing Address - State:NJ
Mailing Address - Zip Code:07508-2574
Mailing Address - Country:US
Mailing Address - Phone:201-615-0060
Mailing Address - Fax:201-941-4745
Practice Address - Street 1:909 BELMONT AVE
Practice Address - Street 2:
Practice Address - City:NORTH HALEDON
Practice Address - State:NJ
Practice Address - Zip Code:07508-2574
Practice Address - Country:US
Practice Address - Phone:201-615-0060
Practice Address - Fax:201-941-4745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-26
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00462700103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty