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General NPI Number Information
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NPI Number | 1013374511
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Entity Type | Organization
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Legal Business Name | COGNITIVE NEUROLOGY CONSULTANTS PA
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Dates
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Enumeration Date | 01/28/2016
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 18 E 41ST ST FL 14
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City | NEW YORK
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State | NY
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Zip | 10017-6244
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Country | US
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Telephone | 305-395-4313
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Fax | 954-840-8254
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Provider Business Mailing Address
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Address Line | 747 W 231ST ST
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City | BRONX
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State | NY
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Zip | 10463-1003
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Country | US
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Telephone | 786-620-3204
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Fax | 954-840-8254
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALON SEIFAN
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Credential | MD
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Telephone | 786-620-3204
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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License Number | ME122509
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License Number State | FL
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