Provider Demographics
NPI:1902286719
Name:NEURO IN MOTION INC
Entity Type:Organization
Organization Name:NEURO IN MOTION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:OSYMA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ELFADIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-403-2082
Mailing Address - Street 1:14918 123RD ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH OZONE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11420-4106
Mailing Address - Country:US
Mailing Address - Phone:917-418-9282
Mailing Address - Fax:
Practice Address - Street 1:1575 50TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-3769
Practice Address - Country:US
Practice Address - Phone:718-928-7677
Practice Address - Fax:718-848-4061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-06
Last Update Date:2015-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012734261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy