Provider Demographics
NPI:1043604192
Name:NEUROLOGY AND EPILEPSY ASSOCIATE OF NY PC
Entity Type:Organization
Organization Name:NEUROLOGY AND EPILEPSY ASSOCIATE OF NY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CALVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:NATANZON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-420-0731
Mailing Address - Street 1:2775 E 16TH ST
Mailing Address - Street 2:STE 2-L
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-4055
Mailing Address - Country:US
Mailing Address - Phone:917-420-0731
Mailing Address - Fax:
Practice Address - Street 1:970 N BROADWAY
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1309
Practice Address - Country:US
Practice Address - Phone:917-420-0731
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-26
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty