Organization
NEUROSTATEGIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARIQ M ABDULAZIZ PHD,MS,MS,MBA,LADC (PRESIDENT/DIRECTOR)
(860) 377-0641
Entity
Organization
Contact information
Practice address
91 SCHRAFFTS DR, WATERBURY, CT 06705-3271
(860) 377-0641
(860) 831-1044
Mailing address
91 SCHRAFFTS DR, WATERBURY, CT 06705-3271
(860) 377-0641
(860) 831-1044
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
001227
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008066918
ABI WAIVER NPI
CT
Enumeration date
04/13/2017
Last updated
04/13/2017
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