Provider Demographics
NPI:1144558958
Name:NEURO ALERT MANAGEMENT , LLC
Entity type:Organization
Organization Name:NEURO ALERT MANAGEMENT , LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THIRUMOORTHI
Authorized Official - Middle Name:V
Authorized Official - Last Name:SESHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-949-8501
Mailing Address - Street 1:244 WESTCHESTER AVE
Mailing Address - Street 2:SUITE 316
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10604-2907
Mailing Address - Country:US
Mailing Address - Phone:914-949-8501
Mailing Address - Fax:914-949-8502
Practice Address - Street 1:244 WESTCHESTER AVE
Practice Address - Street 2:SUITE 316
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10604-2907
Practice Address - Country:US
Practice Address - Phone:914-949-8501
Practice Address - Fax:914-949-8502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-07
Last Update Date:2009-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY144429208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty