# NEUROLOGICAL DIAGNOSTIC

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

## Provider details

- **NPI number:** 1679983829
- **Authorized official:** DR. LEONID SHAPIRO MD (OWNER/PRESIDENT)
- **Authorized official phone:** (855) 699-7246

## Contact information

- **Practice address:** 201 CHESTNUT ST, NEWARK, NJ 07105-1771
- **Practice address phone:** (855) 699-7246
- **Mailing address:** 139 HARRISTOWN RD, SUITE 205, GLEN ROCK, NJ 07452-3312
- **Mailing address phone:** (855) 699-7246

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | NJ | Yes |

## Other

- **Enumeration date:** 04/28/2014
- **Last updated:** 04/28/2014