Provider Demographics
NPI:1710625959
Name:COMPREHENSIVE NEUROLOGY AND PAIN CENTER OF CONNECTICUT STAMFORD
Entity Type:Organization
Organization Name:COMPREHENSIVE NEUROLOGY AND PAIN CENTER OF CONNECTICUT STAMFORD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:IGOR
Authorized Official - Middle Name:GENE
Authorized Official - Last Name:TUROK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-626-9080
Mailing Address - Street 1:66 GROVE ST
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06877-4131
Mailing Address - Country:US
Mailing Address - Phone:203-626-9080
Mailing Address - Fax:
Practice Address - Street 1:66 GROVE ST
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:CT
Practice Address - Zip Code:06877-4131
Practice Address - Country:US
Practice Address - Phone:203-626-9080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-26
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty