Integrative Neuropsych Center

NPI 1184040123 - Psychologist - 103TA0400X

NPI Details
NPI 1184040123
Enumeration Date 03/14/2014
Last Updated 03/14/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name JOHN JOHN
Position DIRECTOR
Phone (917) 300-8006
Fax (917) 210-3184
Practice Location
65 BROADWAY STE 812
NEW YORK NY, 10006-2503, US
Phone (917) 300-8006
Fax (917) 210-3184
Business Location
65 BROADWAY STE 812
NEW YORK NY, 10006-2503, US
Phone (917) 300-8006
Fax (917) 210-3184
Toxanomy
Taxonomy Code 103TA0400X
License State New York
License Number 018945
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According to our database, Integrative Neuropsych Center NPI is 1184040123, taxonomy code is 103TA0400X and license number is 018945, license state is located at New York. Integrative Neuropsych Center physically located at 65 Broadway Ste 812, New York NY, 10006-2503. NPI Number 1033115704 has the healthcare provider type.

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1184040123 NPI number is provided on an as is basis without warranty of any kind. 1184040123 is maintained by the National Plan & Provider Enumeration System. The contents of Integrative Neuropsych Center are for informational purposes only.