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Organization
NEUROSPORT NYC LLC
Active
Organization
NEUROSPORT NYC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MORIAH MORGAN (REGIONAL OFFICE MANAGER)
(770) 321-0155
Entity
Organization
Contact information
Practice address
780 8TH AVE, SUITE 300, NEW YORK, NY 10036-7000
(212) 245-1841
(212) 245-1937
Mailing address
1163 JOHNSON FERRY RD, SUITE 100, MARIETTA, GA 30068-2764
(770) 321-0155
(770) 321-8426
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NY
Other
Enumeration date
11/02/2010
Last updated
09/29/2011
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