Organization
BIG APPLE NEUROLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAN LUCIAN DUMITRU MD (CEO/PRESIDENT)
(201) 451-0400
Entity
Organization
Contact information
Practice address
1810 JOHN F KENNEDY BLVD, JERSEY CITY, NJ 07305-2107
(201) 451-0400
(201) 451-0411
Mailing address
1810 KENNEDY BLVD, JERSEY CITY, NJ 07305
(201) 451-0400
(201) 451-0411
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
25MA09124400
NJ
2084N0400X
Neurology Physician
Primary
25MA09124400
NJ
2084N0600X
Clinical Neurophysiology Physician
25MA09124400
NJ
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
25MA09124400
NJ
Other
Enumeration date
06/27/2013
Last updated
08/20/2014
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