Organization
RYE BROOK NEUROLOGY, PC
Active
Organization
RYE BROOK NEUROLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA AUDRIE DE JESUS (PRESIDENT/ OWNER)
(212) 255-2333
Entity
Organization
Contact information
Practice address
77 QUAKER RIDGE RD, STE 207, NEW ROCHELLE, NY 10804-2808
(917) 272-2680
Mailing address
153 E 87TH ST APT 10B, NEW YORK, NY 10128-2708
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
206602
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01872586
—
NY
01
—
030440476DE02
CARE PLUS
NY
01
—
206602
HIP
NY
01
—
2399196
UHC
NY
01
—
30440476
MAGNACARE
NY
01
—
3099038
GHI
NY
01
—
4C9461
HEALTH NET
NY
01
—
53N521
EMPIRE BCBS
NY
01
—
7051585
AETNA
NY
01
—
7745380
CIGNA
NY
01
—
DM6602
ATLANTIS HEALTH PLAN
NY
01
—
P3241805
OXFORD
NY
Enumeration date
09/30/2006
Last updated
04/18/2008
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