Organization
THE BRAIN SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE J MIHAILA PH.D. (NEUROPSYCHOLOGIST)
(347) 994-8855
Entity
Organization
Contact information
Practice address
1010 NORTHERN BLVD, SUITE 130, GREAT NECK, NY 11021-5317
(347) 884-9955
Mailing address
1010 NORTHERN BLVD, SUITE 130, GREAT NECK, NY 11021-5317
(347) 884-9955
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
017224
NY
261QM0850X
Adult Mental Health Clinic/Center
017224
NY
261QM0855X
Adolescent and Children Mental Health Clinic/Center
017224
NY
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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