Healthcare Provider Details

I. General information

NPI: 1457515413
Provider Name (Legal Business Name): NEUROPSYCHOLOGICAL ASSESSMENT PLATFORM, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2008
Last Update Date: 07/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142 JORALEMON ST SUITE 5F
BROOKLYN NY
11201-4709
US

IV. Provider business mailing address

142 JORALEMON ST SUITE 5F
BROOKLYN NY
11201-4709
US

V. Phone/Fax

Practice location:
  • Phone: 718-488-9802
  • Fax: 718-488-1934
Mailing address:
  • Phone: 718-488-9802
  • Fax: 718-488-1934

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number012825
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number012825
License Number StateNY

VIII. Authorized Official

Name: DR. ALEXANDER B. CHERVINSKY
Title or Position: PRESIDENT AND CEO
Credential: PH.D.
Phone: 718-488-9802