Provider Demographics
NPI:1285182618
Name:INTERNATIONAL BRAIN RESEARCH FOUNDATION
Entity Type:Organization
Organization Name:INTERNATIONAL BRAIN RESEARCH FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LYNNE
Authorized Official - Middle Name:
Authorized Official - Last Name:ESCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-494-7600
Mailing Address - Street 1:227 RTE 206 NORTH
Mailing Address - Street 2:
Mailing Address - City:FLANDERS
Mailing Address - State:NJ
Mailing Address - Zip Code:07836
Mailing Address - Country:US
Mailing Address - Phone:732-494-7600
Mailing Address - Fax:
Practice Address - Street 1:227 US HIGHWAY 206
Practice Address - Street 2:
Practice Address - City:FLANDERS
Practice Address - State:NJ
Practice Address - Zip Code:07836-9110
Practice Address - Country:US
Practice Address - Phone:732-494-7600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-14
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY125903246ZE0600X, 2472E0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Multi-Specialty
No2472E0500XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherEEGGroup - Multi-Specialty