Organization
TRISTATE NEURO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEPI DAKOV REEGT (OWNER)
(718) 614-4138
Entity
Organization
Contact information
Practice address
6260 99TH ST APT 1227, REGO PARK, NY 11374-6030
(718) 830-6211
(347) 282-2422
Mailing address
6260 99TH ST APT 1227, REGO PARK, NY 11374-6030
(718) 830-6211
(347) 282-2422
Taxonomy
Speciality
Code
Description
License number
State
246ZE0500X
EEG Specialist/Technologist
Primary
—
—
Other
Enumeration date
01/03/2014
Last updated
07/06/2015
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