# NEURO CARE MEDICAL, P.C.

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

## Provider details

- **NPI number:** 1225251358
- **Authorized official:** RANGA C KRISHNA MD (PRESIDENT)
- **Authorized official phone:** (718) 815-3529

## Contact information

- **Practice address:** 1163 FOREST AVE, STATEN ISLAND, NY 10310-2408
- **Practice address phone:** (718) 815-3529
- **Practice address fax:** (718) 815-0005
- **Mailing address:** 1513 VOORHIES AVE, BROOKLYN, NY 11235-3994
- **Mailing address phone:** (718) 332-7878
- **Mailing address fax:** (718) 815-0005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 194198 | NY | Yes |

## Other

- **Enumeration date:** 04/10/2007
- **Last updated:** 07/20/2007