Organization
NEURO MANAGEMENT, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUANNE MALLENBAUM MD, PHD (PRESIDENT)
(914) 381-6308
Entity
Organization
Contact information
Practice address
1 WEST AVE STE 215, LARCHMONT, NY 10538-2471
(914) 381-6308
(914) 698-2461
Mailing address
PO BOX 318H, SCARSDALE, NY 10583-8818
(914) 381-6308
(914) 698-2461
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
183699
NY
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
183699
NY
Other
Enumeration date
07/15/2013
Last updated
04/10/2026
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