| Kidsneuro, Llc | |
|
205 Browertown Rd Ste 1 Woodland Park NJ 07424-2610 | |
| (973) 582-0644 | |
| (973) 582-0605 |
| Full Name | Kidsneuro, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
| Location | 205 Browertown Rd Ste 1, Woodland Park, New Jersey |
| Authorized Official Name and Position | Jeffrey Kornitzer (ATTENDING PHYSICIAN) |
| Authorized Official Contact | 9735820644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidsneuro, Llc 205 Browertown Rd #001 Woodland Park NJ 07424 Ph: (973) 582-0644 | Kidsneuro, Llc 205 Browertown Rd Ste 1 Woodland Park NJ 07424-2610 Ph: (973) 582-0644 |
| NPI Number | 1316467640 |
|---|---|
| Provider Enumeration Date | 06/27/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316467640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | (* (Not Available)) | Primary |
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