Organization
NEW YORK NEUROLOGY AND PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAN NAGENDRA MD (OWNER)
(718) 477-9300
Entity
Organization
Contact information
Practice address
1931 RICHMOND AVE STE 201, STATEN ISLAND, NY 10314-3930
(718) 477-9300
(718) 477-9301
Mailing address
1931 RICHMOND AVE STE 201, STATEN ISLAND, NY 10314-3930
(718) 477-9300
(718) 477-9301
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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