# NEUROINTERVENTIONAL MEDICINE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Neurointerventional Medicine PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144901893
- **Authorized official:** DR. SUNDEEP MANGLA MD (OWNER)
- **Authorized official phone:** (917) 575-7703

## Contact information

- **Practice address:** 6702 3RD AVE, BROOKLYN, NY 11220-5203
- **Practice address phone:** (516) 266-6499
- **Practice address fax:** (516) 266-6314
- **Mailing address:** 8 THOMAS ST APT 3, NEW YORK, NY 10007-1139
- **Mailing address phone:** (917) 575-7703
- **Mailing address fax:** (516) 266-6314

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085N0700X | Neuroradiology Physician | — | NULL | Yes |
| 2085N0700X | Neuroradiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/26/2023
- **Last updated:** 08/22/2023