Provider Demographics
NPI:1801622584
Name:BARZILAY, MORAN MORANI (SW)
Entity type:Individual
Prefix:
First Name:MORAN
Middle Name:MORANI
Last Name:BARZILAY
Suffix:
Gender:F
Credentials:SW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 FRANKLIN ST STE 200
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07003-4379
Mailing Address - Country:US
Mailing Address - Phone:973-746-0800
Mailing Address - Fax:
Practice Address - Street 1:440 FRANKLIN ST STE 200
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-4379
Practice Address - Country:US
Practice Address - Phone:973-746-0800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker