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General NPI Number Information
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NPI Number | 1467266593
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Entity Type | Organization
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Legal Business Name | ELYADERANI NEUROLOGICAL ASSOCIATE, P.C.
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Dates
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Enumeration Date | 02/07/2025
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 140 LOCKWOOD AVE STE 103
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-4907
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Country | US
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Telephone | 929-656-5243
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Fax | 718-384-6501
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Provider Business Mailing Address
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Address Line | 114 RIDGE RD
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City | ARDSLEY
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State | NY
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Zip | 10502-2220
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Country | US
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Telephone | 929-656-5243
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Fax | 718-384-6501
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Authorized Official
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Title or Position | OWNER
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Name | FARHAD KADKHODAEI ELYADERANI
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Credential | MD
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Telephone | 929-656-5243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number |
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License Number State |
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