Provider Demographics
NPI:1497257778
Name:FIORELLA PARADISI, LLC
Entity Type:Organization
Organization Name:FIORELLA PARADISI, LLC
Other - Org Name:FIORELLA PARADISI, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE
Authorized Official - Prefix:
Authorized Official - First Name:VJOLLCA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLKASLATINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-405-1890
Mailing Address - Street 1:17 DAVIS RD
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07871-3302
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:17 DAVIS RD
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:NJ
Practice Address - Zip Code:07871-3302
Practice Address - Country:US
Practice Address - Phone:973-405-1890
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-02
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty