| Brain Nerve & Spine Pllc | |
|
128 Mott St #607 New York NY 10013-5540 | |
| (212) 796-7088 | |
| (212) 796-7091 |
| Full Name | Brain Nerve & Spine Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 128 Mott St, New York, New York |
| Authorized Official Name and Position | Jade Y Hon (PRESIDENT AND CEO) |
| Authorized Official Contact | 7188889989 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain Nerve & Spine Pllc 14105 Northern Blvd Ste #1g Flushing NY 11354-4282 Ph: (718) 888-9989 | Brain Nerve & Spine Pllc 128 Mott St #607 New York NY 10013-5540 Ph: (212) 796-7088 |
| NPI Number | 1932499969 |
|---|---|
| Provider Enumeration Date | 04/11/2011 |
| Last Update Date | 09/28/2016 |
| Medicare PECOS PAC ID | 0345529715 |
|---|---|
| Medicare Enrollment ID | O20161108001972 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932499969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 254514-1 (New York) | Primary |
| 363LA2200X | Nurse Practitioner - Adult Health | (* (Not Available)) | Secondary |
| Provider Name | Jade Y Hon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063676260 PECOS PAC ID: 5991991903 Enrollment ID: I20101201001182 |
| Provider Name | Mee Jeong Ka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548613250 PECOS PAC ID: 9133409980 Enrollment ID: I20161213001665 |
| Provider Name | Mee Wah Loo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861738866 PECOS PAC ID: 7416312962 Enrollment ID: I20230505000584 |
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