Provider Demographics
NPI:1265071328
Name:ELDIN, NADA-LINA
Entity type:Individual
Prefix:
First Name:NADA-LINA
Middle Name:
Last Name:ELDIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 PEREZ DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07103-3160
Mailing Address - Country:US
Mailing Address - Phone:908-596-9766
Mailing Address - Fax:
Practice Address - Street 1:PEREZ DRIVE
Practice Address - Street 2:98
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103-0710
Practice Address - Country:US
Practice Address - Phone:908-596-9766
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-06
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst