| Center For Pediatric Neuroscience Llc | |
|
134 Boulevard Apt 12 Passaic NJ 07055-4770 | |
| (862) 686-0260 | |
| Not Available |
| Full Name | Center For Pediatric Neuroscience Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
| Location | 134 Boulevard Apt 12, Passaic, New Jersey |
| Authorized Official Name and Position | Jeffrey Kornitzer (CEO, PEDIATRIC NEUROLOGIST) |
| Authorized Official Contact | 8626860260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Pediatric Neuroscience Llc 134 Boulevard Apt 12 Passaic NJ 07055-4770 Ph: () - | Center For Pediatric Neuroscience Llc 134 Boulevard Apt 12 Passaic NJ 07055-4770 Ph: (862) 686-0260 |
| NPI Number | 1134906688 |
|---|---|
| Provider Enumeration Date | 09/08/2023 |
| Last Update Date | 09/08/2023 |
| Certification Date | 09/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134906688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | (* (Not Available)) | Primary |
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