# NEUROSURE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043786346
- **Authorized official:** MELISSA NIELI (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (914) 376-6100

## Contact information

- **Practice address:** 326A 6TH ST, SADDLE BROOK, NJ 07663-6306
- **Practice address phone:** (914) 376-6100
- **Practice address fax:** (914) 470-5056
- **Mailing address:** 326A 6TH ST, SADDLE BROOK, NJ 07663-6306
- **Mailing address phone:** (914) 376-6100
- **Mailing address fax:** (914) 470-5056

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/15/2018
- **Last updated:** 10/15/2018