Organization
NEURO CARE MEDICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANGA C KRISHNA MD (PRESIDENT)
(718) 815-3529
Entity
Organization
Contact information
Practice address
1163 FOREST AVE, STATEN ISLAND, NY 10310-2408
(718) 815-3529
(718) 815-0005
Mailing address
1513 VOORHIES AVE, BROOKLYN, NY 11235-3994
(718) 332-7878
(718) 815-0005
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
194198
NY
Other
Enumeration date
04/10/2007
Last updated
07/20/2007
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