Provider Demographics
NPI:1568730703
Name:NEUROLOGY PRACTICE OF NY PC
Entity Type:Organization
Organization Name:NEUROLOGY PRACTICE OF NY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NARMINA
Authorized Official - Middle Name:R
Authorized Official - Last Name:DZHAFAROVA
Authorized Official - Suffix:
Authorized Official - Credentials:MD, DO
Authorized Official - Phone:646-479-3871
Mailing Address - Street 1:8 CORNWALL LN APT 2T
Mailing Address - Street 2:
Mailing Address - City:CARLE PLACE
Mailing Address - State:NY
Mailing Address - Zip Code:11514-1077
Mailing Address - Country:US
Mailing Address - Phone:646-479-3871
Mailing Address - Fax:
Practice Address - Street 1:8 CORNWALL LN APT 2T
Practice Address - Street 2:
Practice Address - City:CARLE PLACE
Practice Address - State:NY
Practice Address - Zip Code:11514-1077
Practice Address - Country:US
Practice Address - Phone:646-479-3871
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-02
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2518052084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty