Provider Demographics
NPI:1760906747
Name:NOVA NEUROSCIENCE
Entity Type:Organization
Organization Name:NOVA NEUROSCIENCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:BUELENT
Authorized Official - Middle Name:
Authorized Official - Last Name:YAPICILAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-748-1000
Mailing Address - Street 1:8230 BOONE BLVD STE 360
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-2632
Mailing Address - Country:US
Mailing Address - Phone:703-748-1000
Mailing Address - Fax:703-748-1010
Practice Address - Street 1:8230 BOONE BLVD STE 360
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-2632
Practice Address - Country:US
Practice Address - Phone:703-748-1000
Practice Address - Fax:703-748-1010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty