Provider Demographics
NPI:1053101238
Name:PRECISION NEUROLOGY ASSOCIATES PLLC
Entity type:Organization
Organization Name:PRECISION NEUROLOGY ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARITZA
Authorized Official - Middle Name:ESTHER
Authorized Official - Last Name:FELIZ CEPIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:347-805-4641
Mailing Address - Street 1:1 REGENCY PLZ APT 1211R
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-3138
Mailing Address - Country:US
Mailing Address - Phone:347-805-4641
Mailing Address - Fax:
Practice Address - Street 1:115 NORWOOD PARK S
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-4633
Practice Address - Country:US
Practice Address - Phone:347-805-4641
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-09
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0008XAllopathic & Osteopathic PhysiciansPediatricsNeurodevelopmental DisabilitiesGroup - Multi-Specialty