Organization
DYSAUTONOMIA CENTER LLP
Active
Organization
DYSAUTONOMIA CENTER LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FELICIA AXELROD (PARTNER)
(212) 263-7225
Entity
Organization
Contact information
Practice address
530 1ST AVE, SUITE 9Q, NEW YORK, NY 10016-6402
(212) 263-7225
(212) 263-7041
Mailing address
530 1ST AVE, SUITE 9Q, NEW YORK, NY 10016-6402
(212) 263-7225
(212) 263-7041
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
099123
NY
2084N0400X
Neurology Physician
168166
NY
Other
Enumeration date
06/17/2009
Last updated
06/17/2009
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