Provider Demographics
NPI:1770349813
Name:COGNITIVE WORKS PLLC
Entity type:Organization
Organization Name:COGNITIVE WORKS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ULAS
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMSARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:507-284-2511
Mailing Address - Street 1:5635 CHRISTMAS LAKE PT
Mailing Address - Street 2:
Mailing Address - City:EXCELSIOR
Mailing Address - State:MN
Mailing Address - Zip Code:55331-9102
Mailing Address - Country:US
Mailing Address - Phone:507-284-2511
Mailing Address - Fax:
Practice Address - Street 1:5635 CHRISTMAS LAKE PT
Practice Address - Street 2:
Practice Address - City:EXCELSIOR
Practice Address - State:MN
Practice Address - Zip Code:55331-9102
Practice Address - Country:US
Practice Address - Phone:507-284-2511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COGNITIVE WORKS PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-02-26
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty