| Neuropractice Pc | |
|
3901 Highway 516 Suite 1c Old Bridge NJ 08857-4900 | |
| (732) 306-7372 | |
| (732) 707-4101 |
| Full Name | Neuropractice Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 3901 Highway 516, Old Bridge, New Jersey |
| Authorized Official Name and Position | Irina Kogan (PRESIDENT) |
| Authorized Official Contact | 7323067372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuropractice Pc 445 Kings Highway 2 Floor Brooklyn NY 11229-1780 Ph: (718) 676-0111 | Neuropractice Pc 3901 Highway 516 Suite 1c Old Bridge NJ 08857-4900 Ph: (732) 306-7372 |
| NPI Number | 1902142797 |
|---|---|
| Provider Enumeration Date | 12/24/2012 |
| Last Update Date | 12/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902142797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 25MA08800000 (New Jersey) | Primary |
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