Organization
NEUROSCIENCE COLLABORATIVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL COURNYEA (CEO)
(716) 929-9502
Entity
Organization
Contact information
Practice address
1700 S TAMIAMI TRL, SARASOTA, FL 34239-3509
(716) 929-9502
Mailing address
25 ELMHURST RD, AMHERST, NY 14226-3539
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
05/18/2023
Last updated
07/17/2023
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