Provider Demographics
NPI:1679996953
Name:NEUROMETRIC EVALUATION SERVICE NY LTD
Entity Type:Organization
Organization Name:NEUROMETRIC EVALUATION SERVICE NY LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PRICHEP
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:914-409-8060
Mailing Address - Street 1:PO BOX 519
Mailing Address - Street 2:
Mailing Address - City:MAMARONECK
Mailing Address - State:NY
Mailing Address - Zip Code:10543-0519
Mailing Address - Country:US
Mailing Address - Phone:914-409-8060
Mailing Address - Fax:866-698-1708
Practice Address - Street 1:30 E 40TH ST
Practice Address - Street 2:STE 1100
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-1201
Practice Address - Country:US
Practice Address - Phone:914-409-8060
Practice Address - Fax:866-698-1708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-22
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory