Provider Demographics
NPI:1982361457
Name:AFFILIATE OF NEUROLOGY & PSYCHIATRY, PLLC
Entity Type:Organization
Organization Name:AFFILIATE OF NEUROLOGY & PSYCHIATRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMPLOYEE
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:H
Authorized Official - Last Name:COTTROL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-369-2395
Mailing Address - Street 1:347 W 57TH ST APT 21F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-3168
Mailing Address - Country:US
Mailing Address - Phone:888-384-5554
Mailing Address - Fax:866-529-5039
Practice Address - Street 1:347 W 57TH ST APT 21F
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3168
Practice Address - Country:US
Practice Address - Phone:888-384-5554
Practice Address - Fax:866-529-5039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-19
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty