Provider Demographics
NPI:1659769578
Name:SAIZ MD LLC
Entity Type:Organization
Organization Name:SAIZ MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:201-864-2031
Mailing Address - Street 1:407 39TH ST
Mailing Address - Street 2:SUITE 402
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-4817
Mailing Address - Country:US
Mailing Address - Phone:201-864-2031
Mailing Address - Fax:201-864-2139
Practice Address - Street 1:407 39TH ST
Practice Address - Street 2:SUITE 402
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-4817
Practice Address - Country:US
Practice Address - Phone:201-864-2031
Practice Address - Fax:201-864-2139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-30
Last Update Date:2014-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC055665001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty