Provider Demographics
NPI:1720283492
Name:NEUROLOGICAL SURGEONS OF STAMFORD, P.C.
Entity Type:Organization
Organization Name:NEUROLOGICAL SURGEONS OF STAMFORD, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:CORY
Authorized Official - Last Name:ROSENSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:203-324-3504
Mailing Address - Street 1:70 MILL RIVER ST
Mailing Address - Street 2:LL3
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-3725
Mailing Address - Country:US
Mailing Address - Phone:203-324-3504
Mailing Address - Fax:203-969-1392
Practice Address - Street 1:70 MILL RIVER ST
Practice Address - Street 2:LL3
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-3725
Practice Address - Country:US
Practice Address - Phone:203-324-3504
Practice Address - Fax:203-969-1392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT31582174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty