Organization
DEVELOPMENTAL NEUROLOGICAL EVALUATIONS AND TREATMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAVINDER TIKOO (PRESIDENT)
(917) 536-8940
Entity
Organization
Contact information
Practice address
1 FULTON AVE, SUITE 120, HEMPSTEAD, NY 11550-3646
(646) 349-3883
Mailing address
1 FULTON AVE, SUITE 120, HEMPSTEAD, NY 11550-3646
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
198252
NY
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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