1619967288 NPI number — NEW YORK UNIVERSITY MEDICAL CENTER NYUMC NEUROLOGY ASSOCIATES

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619967288 NPI number — NEW YORK UNIVERSITY MEDICAL CENTER NYUMC NEUROLOGY ASSOCIATES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW YORK UNIVERSITY MEDICAL CENTER NYUMC NEUROLOGY ASSOCIATES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1619967288
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
400 E 34TH ST
Provider Second Line Business Mailing Address:
RR-311
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10016-4901
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
877-648-2964
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
400 E 34TH ST
Provider Second Line Business Practice Location Address:
RR-311
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10016-4901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
877-648-2964
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/25/2005

Additional Information

Authorized Official

Authorized Official Last Name:
RUBIN
Authorized Official First Name:
ANDREW
Authorized Official Middle Name:
T.
Authorized Official Title or Position:
SR. ASST. DEAN OF CLINICIAL AFFAIRS
Authorized Official Telephone Number:
212-263-2824

Provider Taxonomy Codes

  • Taxonomy code: 2084N0400X , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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