# BRAIN INJURY MEDICINE ASSOCIATES PLLC

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

## Provider details

- **NPI number:** 1174157887
- **Authorized official:** MEHRDAD GOLZAD MD (OWNER)
- **Authorized official phone:** (718) 454-2222

## Contact information

- **Practice address:** 9131 QUEENS BLVD, ELMHURST, NY 11373-5555
- **Practice address phone:** (718) 454-2222
- **Practice address fax:** (718) 264-0257
- **Mailing address:** 116 SANDFORD ST, BROOKLYN, NY 11205-2987
- **Mailing address phone:** (718) 454-2222
- **Mailing address fax:** (718) 264-0257

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0301X | Brain Injury Medicine (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084P0301X | Brain Injury Medicine (Psychiatry & Neurology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/03/2020
- **Last updated:** 03/03/2020
