Organization
NEUROREHABILITATION AND NEUROPSYCHOLICAL SERVICES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ALAN COBEN PH. D (MEDICAL DIRECTOR)
(516) 799-8599
Entity
Organization
Contact information
Practice address
1035 PARK BLVD, SUITE 2B, MASSAPEQUA PARK, NY 11762-2743
(516) 799-8599
Mailing address
1035 PARK BLVD, SUITE 2B, MASSAPEQUA PARK, NY 11762-2743
(516) 799-8599
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
012160-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01733191
—
NY
Enumeration date
10/07/2009
Last updated
10/07/2009
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