Provider Demographics
NPI:1871667840
Name:NEUROLOGY ASSOCIATES, PC
Entity Type:Organization
Organization Name:NEUROLOGY ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:M
Authorized Official - Last Name:RESTAK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-462-0455
Mailing Address - Street 1:1800 R ST NW
Mailing Address - Street 2:SUITE C-3
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-1625
Mailing Address - Country:US
Mailing Address - Phone:202-462-0455
Mailing Address - Fax:202-462-0340
Practice Address - Street 1:1800 R ST NW
Practice Address - Street 2:SUITE C-3
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-1625
Practice Address - Country:US
Practice Address - Phone:202-462-0455
Practice Address - Fax:202-462-0340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDC42172084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty