1811047616 NPI number — NY NEUROSCIENCE ASSOCIATE, PC

Table of content: (NPI 1811047616)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811047616 NPI number — NY NEUROSCIENCE ASSOCIATE, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NY NEUROSCIENCE ASSOCIATE, PC
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:
1811047616
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
210 LAFAYETTE ST APT 10A
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10012-4018
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-746-2396
Provider Business Mailing Address Fax Number:
212-772-0357

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
JAMAICA HOSPITAL 8900 VAN WYCK EXPRESSWAY, JAMAICA, NY
Provider Second Line Business Practice Location Address:
NEW YORK PRESBYTERIAN HOSPITAL 525 EAST 68TH STREET
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10021
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-746-2396
Provider Business Practice Location Address Fax Number:
212-772-0357
Provider Enumeration Date:
01/12/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
GHAJAR
Authorized Official First Name:
JAMSHID
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
212-746-2396

Provider Taxonomy Codes

  • Taxonomy code: 174400000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 01033738 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".