Provider Demographics
NPI:1194013276
Name:INTEGRAL NEUROLOGIC AND SLEEP MEDICINE CONSULTANTS LLC
Entity Type:Organization
Organization Name:INTEGRAL NEUROLOGIC AND SLEEP MEDICINE CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MGR
Authorized Official - Prefix:MRS
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSANIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-240-4787
Mailing Address - Street 1:633 RTE 37 W
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-8007
Mailing Address - Country:US
Mailing Address - Phone:732-240-4787
Mailing Address - Fax:732-575-1597
Practice Address - Street 1:633 RTE 37 W
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-8007
Practice Address - Country:US
Practice Address - Phone:732-240-4787
Practice Address - Fax:732-575-1597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-11
Last Update Date:2011-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA394062084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty