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Organization

PEDIATRIC NEUROLOGY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAJA ILIC MD (MD)
(914) 358-1162
Entity
Organization

Contact information

Practice address
210 N CENTRAL AVE STE 250, HARTSDALE, NY 10530-1949
(914) 358-1162
(914) 368-8343
Mailing address
8 MURRAY HILL RD, SCARSDALE, NY 10583-2804
(914) 358-1162
(914) 368-8343

Taxonomy

Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
259249
NY

Other

Enumeration date
08/16/2016
Last updated
09/01/2023
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