Provider Demographics
NPI:1225076805
Name:NEURO WORKS LLC
Entity Type:Organization
Organization Name:NEURO WORKS LLC
Other - Org Name:SIEGEL NEUROLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:BONITA
Authorized Official - Middle Name:H
Authorized Official - Last Name:SIEGEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-857-2716
Mailing Address - Street 1:210 SAINT JAMES PL
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-2302
Mailing Address - Country:US
Mailing Address - Phone:718-857-2716
Mailing Address - Fax:718-374-5346
Practice Address - Street 1:210 SAINT JAMES PL
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-2302
Practice Address - Country:US
Practice Address - Phone:718-857-2716
Practice Address - Fax:718-374-5346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2012-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty