# UPPER EAST SIDE COMMUNITY NEUROLOGY PC

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

## Provider details

- **NPI number:** 1790114577
- **Authorized official:** DR. CAROLINE M BADEER MD (PRESIDENT)
- **Authorized official phone:** (212) 427-4852

## Contact information

- **Practice address:** 17 E 96TH ST, 1B, NEW YORK, NY 10128-0783
- **Practice address phone:** (212) 427-4852
- **Practice address fax:** (646) 439-9226
- **Mailing address:** 17 E 96TH ST, 1B, NEW YORK, NY 10128-0783
- **Mailing address phone:** (212) 427-4852
- **Mailing address fax:** (646) 439-9226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 252686 | NY | Yes |

## Other

- **Enumeration date:** 11/02/2013
- **Last updated:** 11/02/2013