Organization
COMPLETE NEUROLOGICAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN EDGAR MD (OWNER)
(718) 544-4200
Entity
Organization
Contact information
Practice address
11247 QUEENS BLVD, STE 206, FOREST HILLS, NY 11375-7417
(718) 544-4200
(718) 544-4201
Mailing address
1311 BRIGHTWATER AVE, APT 18-IJ, BROOKLYN, NY 11235-5962
(718) 544-4200
(718) 544-4201
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
02/23/2012
Last updated
01/28/2015
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