Organization
UPPER EAST SIDE COMMUNITY NEUROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLINE M BADEER MD (PRESIDENT)
(212) 427-4852
Entity
Organization
Contact information
Practice address
17 E 96TH ST, 1B, NEW YORK, NY 10128-0783
(212) 427-4852
(646) 439-9226
Mailing address
17 E 96TH ST, 1B, NEW YORK, NY 10128-0783
(212) 427-4852
(646) 439-9226
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
252686
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03347133
—
NY
Enumeration date
11/02/2013
Last updated
11/02/2013
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