Organization
NEURON STREET LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YONGMING MAO (PRESIDENT)
(718) 686-1108
Entity
Organization
Contact information
Practice address
829 57TH ST, SUITE # 5, BROOKLYN, NY 11220-3677
(718) 686-1108
Mailing address
829 57TH ST, SUITE # 5, BROOKLYN, NY 11220-3677
(718) 686-1108
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
04/06/2017
Last updated
04/06/2017
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