Provider Demographics
NPI:1336153683
Name:NEUROLOGICAL ASSOCIATES OF NEW HAVEN, P.C.
Entity Type:Organization
Organization Name:NEUROLOGICAL ASSOCIATES OF NEW HAVEN, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:CLEMENTE
Authorized Official - Last Name:MCVEETY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-789-6047
Mailing Address - Street 1:330 ORCHARD STREET
Mailing Address - Street 2:SUITE 216
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-4430
Mailing Address - Country:US
Mailing Address - Phone:203-789-6047
Mailing Address - Fax:203-782-6311
Practice Address - Street 1:330 ORCHARD STREET
Practice Address - Street 2:SUITE 216
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-4430
Practice Address - Country:US
Practice Address - Phone:203-789-6047
Practice Address - Fax:203-782-6311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization