Provider Demographics
NPI:1942239520
Name:NY NEUROLOGICAL ASSOCIATES, PC
Entity type:Organization
Organization Name:NY NEUROLOGICAL ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:A
Authorized Official - Last Name:FATIMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-794-2281
Mailing Address - Street 1:50 E 77TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-1842
Mailing Address - Country:US
Mailing Address - Phone:212-794-2281
Mailing Address - Fax:212-517-9551
Practice Address - Street 1:50 E 77TH ST # 10075
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-1842
Practice Address - Country:US
Practice Address - Phone:212-794-2281
Practice Address - Fax:212-517-9551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty