| Neuro Logic Care, L.l.c. | |
|
5 Perryridge Rd Greenwich CT 06830-4608 | |
| (203) 253-2644 | |
| (914) 253-8099 |
| Full Name | Neuro Logic Care, L.l.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 5 Perryridge Rd, Greenwich, Connecticut |
| Authorized Official Name and Position | James R Morris (PRESIDENT) |
| Authorized Official Contact | 9142538011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuro Logic Care, L.l.c. 170 Clapboard Ridge Rd Greenwich CT 06831-3351 Ph: (203) 253-2644 | Neuro Logic Care, L.l.c. 5 Perryridge Rd Greenwich CT 06830-4608 Ph: (203) 253-2644 |
| NPI Number | 1801007687 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 11/29/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801007687 | NPI | - | NPPES |
| 01706569 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 187992 (New York) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 035215 (Connecticut) | Primary |
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