Organization · NPI-2

Advanced Neurology PC

Psychiatry & Neurology, Neurology · Brooklyn, NY

NPI number1699059451
StatusActive
Last updated in NPPESDec 13, 2014

Details

NPI
1699059451
Entity type
Organization (NPI-2)
Legal business name
Advanced Neurology PC
Organization subpart
No
Enumeration date
Sep 28, 2011
Last updated
Dec 13, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, Neurology––Yes

Practice location

445 Kings Hwy
2 Floor
Brooklyn, NY 11223-1780

Phone 718-676-0111 · Fax 718-676-9710

Mailing address

445 Kings Highway
2 Floor
Brooklyn, NY 11229-1780

Phone 718-676-0111 · Fax 718-676-9710

Authorized official

Irina Kogan
Owner
7186760111

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