Broome Neurosciences, P C
Specialist in Binghamton, NY. Organization (NPI-2).
NPI number1184771024
StatusActive
Last updated in NPPESOct 4, 2010
Details
- NPI
- 1184771024
- Entity type
- Organization (NPI-2)
- Legal business name
- Broome Neurosciences, P C
- Organization subpart
- No
- Enumeration date
- Jan 4, 2007
- Last updated
- Oct 4, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 135864 | NY | Yes |
| 174400000X | Specialist | 137010 | NY |
Practice location
38 Front StBinghamton, NY 13905-4712
Phone 607-772-9556
Mailing address
38 Front StBinghamton, NY 13905-4712
Phone 607-772-9556
Authorized official
Sowbhagya L Sonthineni
President
6077729556
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