Organization
NEW YORK NEUROSCIENCE INSTITUTE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMRAN TABADDOR MD (OWNER)
(718) 655-9111
Entity
Organization
Contact information
Practice address
4256 BRONX BLVD STE 5, BRONX, NY 10466-2672
(718) 655-9111
(718) 231-1522
Mailing address
4256 BRONX BLVD STE 5, BRONX, NY 10466-2672
(718) 655-9111
(718) 231-1522
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01588641
—
NY
Enumeration date
08/01/2006
Last updated
07/21/2022
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