Developmental Neurological Evaluations and Treatment

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

198252 Issued in NY

Legal business name

DEVELOPMENTAL NEUROLOGICAL EVALUATIONS AND TREATMENT

Practice address

1 Fulton Ave
Suite 120
Hempstead, NY 11550-3646

Phone

(646) 349-3883

NPI assigned

Jan 30, 2014

Last updated

Jan 30, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ravinder Tikoo

Title

President

Phone

(917) 536-8940

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1285057091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FULTON AVE",
            "address_2": "SUITE 120",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FULTON AVE",
            "address_2": "SUITE 120",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503646",
            "telephone_number": "646-349-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENTAL NEUROLOGICAL EVALUATIONS AND TREATMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-30",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "TIKOO",
        "authorized_official_first_name": "RAVINDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-536-8940"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "198252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles J Demarco, DC
• Loren O'Connor Dempsey, RN, CPNP
• Daniel Derienzis, LMSW
• Edwidge D Desgraves
• Marie Smith Destine-Azor, FNP
• Reginald Devilme
• Saadiyah Dhanraj
• Robert Vincent Di Monda, MS, ATC, EMT-B
• Dylan Dial
• Chana Malka Diamond, LCSW

• Neurology Physician in Hempstead, NY
• Providers in Hempstead, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.