Provider Demographics
NPI:1346802352
Name:NY NEUROLOGY MEDICINE PC
Entity Type:Organization
Organization Name:NY NEUROLOGY MEDICINE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:HUMA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEIKH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-405-5804
Mailing Address - Street 1:305 7TH AVE RM 13C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-6155
Mailing Address - Country:US
Mailing Address - Phone:908-405-5804
Mailing Address - Fax:506-700-2408
Practice Address - Street 1:305 7TH AVE RM 13C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-6155
Practice Address - Country:US
Practice Address - Phone:908-405-5804
Practice Address - Fax:506-700-2408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-01
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1730476680OtherNPI