Organization
KIDSNEURO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY KORNITZER MD (ATTENDING PHYSICIAN)
(973) 582-0644
Entity
Organization
Contact information
Practice address
205 BROWERTOWN RD STE 1, WOODLAND PARK, NJ 07424-2610
(973) 582-0644
(973) 582-0605
Mailing address
205 BROWERTOWN RD, #001, WOODLAND PARK, NJ 07424
(973) 582-0644
(973) 582-0605
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
—
—
Other
Enumeration date
06/27/2017
Last updated
07/21/2022
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