Provider Demographics
NPI:1164663027
Name:C B NEUROLOGY & SLEEP MEDICINE CONSULTING PC
Entity Type:Organization
Organization Name:C B NEUROLOGY & SLEEP MEDICINE CONSULTING PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHUN
Authorized Official - Middle Name:
Authorized Official - Last Name:BAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-226-6877
Mailing Address - Street 1:401 BROADWAY
Mailing Address - Street 2:SUITE 612
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-3005
Mailing Address - Country:US
Mailing Address - Phone:212-226-6877
Mailing Address - Fax:212-226-6955
Practice Address - Street 1:401 BROADWAY
Practice Address - Street 2:SUITE 612
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-3005
Practice Address - Country:US
Practice Address - Phone:212-226-6877
Practice Address - Fax:212-226-6955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-23
Last Update Date:2009-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service