Organization
CENTER FOR PEDIATRIC NEUROSCIENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY KORNITZER MD (CEO, PEDIATRIC NEUROLOGIST)
(862) 686-0260
Entity
Organization
Contact information
Practice address
134 BOULEVARD APT 12, PASSAIC, NJ 07055-4770
(862) 686-0260
Mailing address
134 BOULEVARD APT 12, PASSAIC, NJ 07055-4770
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
—
—
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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