Provider Demographics
NPI:1033844022
Name:ELITE NEUROLOGY ASSOCIATES LLC
Entity Type:Organization
Organization Name:ELITE NEUROLOGY ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:CHENHANG
Authorized Official - Last Name:LI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-996-3783
Mailing Address - Street 1:945 E HAVERFORD RD STE 202A
Mailing Address - Street 2:
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-3858
Mailing Address - Country:US
Mailing Address - Phone:484-996-3783
Mailing Address - Fax:
Practice Address - Street 1:945 E HAVERFORD RD STE 202A
Practice Address - Street 2:
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-3858
Practice Address - Country:US
Practice Address - Phone:484-996-3783
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-22
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty