Provider Demographics
NPI:1780123281
Name:NEUROTRACK TECHNOLOGIES, INC
Entity type:Organization
Organization Name:NEUROTRACK TECHNOLOGIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ELLI
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-706-0623
Mailing Address - Street 1:399 BRADFORD ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063-1583
Mailing Address - Country:US
Mailing Address - Phone:415-706-0623
Mailing Address - Fax:
Practice Address - Street 1:399 BRADFORD ST
Practice Address - Street 2:SUITE 101
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-1583
Practice Address - Country:US
Practice Address - Phone:415-706-0623
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-16
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes405300000XOther Service ProvidersPrevention ProfessionalGroup - Single Specialty