Organization
NY NEURORECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW IVANSON M.D. (PRESIDENT)
(646) 541-9779
Entity
Organization
Contact information
Practice address
726 AVENUE Z, BROOKLYN, NY 11223-6238
(718) 872-7373
Mailing address
4817 BEDFORD AVE, 3A, BROOKLYN, NY 11235-2783
(718) 646-7677
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
06/03/2006
Last updated
08/22/2020
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