# NEURO CONNECT CORP.

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

## Provider details

- **NPI number:** 1871995092
- **Authorized official:** MISS MICHELLE LEA RUSSO R. EEG. T (PRESIDENT)
- **Authorized official phone:** (808) 754-7967

## Contact information

- **Practice address:** 1188 BISHOP ST, SUITE \# 607, HONOLULU, HI 96813-3302
- **Practice address phone:** (888) 541-5509
- **Practice address fax:** (808) 356-0771
- **Mailing address:** 1188 BISHOP ST, SUITE \# 607, HONOLULU, HI 96813-3302
- **Mailing address phone:** (888) 541-5509
- **Mailing address fax:** (808) 356-0771

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 293D00000X | Physiological Laboratory | — | NULL | Yes |

## Other

- **Enumeration date:** 09/18/2014
- **Last updated:** 09/18/2014
