Provider Demographics
NPI:1457515413
Name:NEUROPSYCHOLOGICAL ASSESSMENT PLATFORM, P.C.
Entity Type:Organization
Organization Name:NEUROPSYCHOLOGICAL ASSESSMENT PLATFORM, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:B
Authorized Official - Last Name:CHERVINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:718-488-9802
Mailing Address - Street 1:142 JORALEMON ST
Mailing Address - Street 2:SUITE 5F
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-4709
Mailing Address - Country:US
Mailing Address - Phone:718-488-9802
Mailing Address - Fax:718-488-1934
Practice Address - Street 1:142 JORALEMON ST
Practice Address - Street 2:SUITE 5F
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-4709
Practice Address - Country:US
Practice Address - Phone:718-488-9802
Practice Address - Fax:718-488-1934
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-17
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012825261Q00000X, 261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01727100Medicaid
NYV90041Medicare PIN
NYR10538Medicare UPIN