Provider Demographics
NPI:1609199470
Name:NEUROWATCH USA INC
Entity Type:Organization
Organization Name:NEUROWATCH USA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:O
Authorized Official - Last Name:DANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-510-2470
Mailing Address - Street 1:832 CREEKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14150-1310
Mailing Address - Country:US
Mailing Address - Phone:716-510-2470
Mailing Address - Fax:
Practice Address - Street 1:832 CREEKSIDE DR
Practice Address - Street 2:
Practice Address - City:TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14150-1310
Practice Address - Country:US
Practice Address - Phone:716-510-2470
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-09
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY214144-12084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep MedicineGroup - Single Specialty