| Moving Brains Neurological Care, Pllc | |
|
205 E 111th St New York NY 10029-2901 | |
| (646) 864-0213 | |
| (646) 864-0237 |
| Full Name | Moving Brains Neurological Care, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 205 E 111th St, New York, New York |
| Authorized Official Name and Position | Jose Carlos Cabassa (OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6469520007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moving Brains Neurological Care, Pllc 205 E 111th St New York NY 10029-2901 Ph: (646) 952-0007 | Moving Brains Neurological Care, Pllc 205 E 111th St New York NY 10029-2901 Ph: (646) 864-0213 |
| NPI Number | 1619472271 |
|---|---|
| Provider Enumeration Date | 03/27/2018 |
| Last Update Date | 03/25/2021 |
| Certification Date | 03/25/2021 |
| Medicare PECOS PAC ID | 3476816984 |
|---|---|
| Medicare Enrollment ID | O20180416002190 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619472271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Jose Cabassa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760526164 PECOS PAC ID: 1355583097 Enrollment ID: I20130809000245 |
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