| Comprehensive Neurological Care Pa | |
|
18975 Collins Ave Sunny Isl Bch FL 33160-2300 | |
| (347) 634-9425 | |
| Not Available |
| Full Name | Comprehensive Neurological Care Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 18975 Collins Ave, Sunny Isl Bch, Florida |
| Authorized Official Name and Position | Julia Ostrovsky (MANAGER) |
| Authorized Official Contact | 3476349425 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Neurological Care Pa 18975 Collins Ave Unit 1602 Sunny Isles Beach FL 33160-2357 Ph: (347) 634-9425 | Comprehensive Neurological Care Pa 18975 Collins Ave Sunny Isl Bch FL 33160-2300 Ph: (347) 634-9425 |
| NPI Number | 1104406750 |
|---|---|
| Provider Enumeration Date | 04/08/2021 |
| Last Update Date | 03/26/2024 |
| Certification Date | 03/26/2024 |
| Medicare PECOS PAC ID | 0446651210 |
|---|---|
| Medicare Enrollment ID | O20210630002686 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104406750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Nina Tsakadze |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356534135 PECOS PAC ID: 4587835095 Enrollment ID: I20110913000836 |
| Provider Name | Ellen I Edgar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326343625 PECOS PAC ID: 4486838885 Enrollment ID: I20210702000441 |
| Provider Name | Tamara Goodman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083094080 PECOS PAC ID: 1153668660 Enrollment ID: I20210702000844 |