Organization
PEDIATRIC NEUROLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA C. YOUNES M.D. (PRESIDENT)
(401) 334-0424
Entity
Organization
Contact information
Practice address
2138 MENDON RD, UNIT 104, CUMBERLAND, RI 02864-3834
(401) 334-0424
Mailing address
2138 MENDON RD, UNIT 104, CUMBERLAND, RI 02864-3834
(401) 334-0424
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
7691
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PN44005
—
RI
Enumeration date
02/14/2007
Last updated
08/22/2020
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