Provider Demographics
NPI:1982702395
Name:NEUROLOGICAL ASSOCIATES, INC.
Entity Type:Organization
Organization Name:NEUROLOGICAL ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:804-288-2742
Mailing Address - Street 1:6603 W BROAD ST
Mailing Address - Street 2:SUITE 401
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-1723
Mailing Address - Country:US
Mailing Address - Phone:804-288-2742
Mailing Address - Fax:804-288-9053
Practice Address - Street 1:6603 W BROAD ST
Practice Address - Street 2:SUITE 401
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-1723
Practice Address - Country:US
Practice Address - Phone:804-288-2742
Practice Address - Fax:804-288-9053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
C02043Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER