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Organization

REGIONAL NEUROLOGICAL ASSOCIATES, PC

Active
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Organization

REGIONAL NEUROLOGICAL ASSOCIATES, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KAMRAN TABADDOR MD (PRESIDENT)
(718) 655-9111
Entity
Organization

Contact information

Practice address
4234 BRONX BLVD FRNT 1, BRONX, NY 10466-2669
(718) 515-4347
(718) 653-8641
Mailing address
4234-1 BRONX BOULEVARD, BRONX, NY 10466-2801
(718) 515-4347
(718) 653-8641

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
195905
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01638462
—
NY
01
—
0H1338
HEALTHNET
NY
01
—
10599
HIP CMO
NY
01
—
1279657
UNITED HEALTHCARE
NY
01
—
195905
HIP
NY
01
—
231955
MANGED HEALTHNET
NY
01
—
9603726003
CIGNA
NY
01
—
P623258
OXFORD
NY
01
—
RB0476N110
BLUE CROSS BLUE SHIELD
NY
Enumeration date
04/12/2006
Last updated
02/17/2015
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