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Contact Information

BRAIN INJURY MEDICINE ASSOCIATES PLLC
9131 QUEENS BLVD
ELMHURST, NY11373-5555
 Phone: 718-454-2222
 Fax: 718-264-0257
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Brain Injury Medicine

2084P0301X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for BRAIN INJURY MEDICINE ASSOCIATES PLLC · (Female)

NPI Number 1174157887
Status Active
Credentials
Entity Individual
Enumeration date 03/03/2020
Last updated 03/03/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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