Provider Demographics
NPI:1467266593
Name:ELYADERANI NEUROLOGICAL ASSOCIATE, P.C.
Entity type:Organization
Organization Name:ELYADERANI NEUROLOGICAL ASSOCIATE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FARHAD
Authorized Official - Middle Name:KADKHODAEI
Authorized Official - Last Name:ELYADERANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:929-656-5243
Mailing Address - Street 1:114 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:ARDSLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10502-2220
Mailing Address - Country:US
Mailing Address - Phone:929-656-5243
Mailing Address - Fax:718-384-6501
Practice Address - Street 1:140 LOCKWOOD AVE STE 103
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-4907
Practice Address - Country:US
Practice Address - Phone:929-656-5243
Practice Address - Fax:718-384-6501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-07
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical NeurophysiologyGroup - Single Specialty