Organization
MEDICAL NEUROLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VESNA MICIC MD (OWNER)
(832) 370-3789
Entity
Organization
Contact information
Practice address
245 5TH AVE FL 3, NEW YORK, NY 10016-8728
(646) 960-1085
(646) 607-6871
Mailing address
105 W 125TH ST FRNT 1-1149, NEW YORK, NY 10027-4444
(646) 960-1085
(646) 607-6871
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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