Neuron Street LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

NEURON STREET LLC

Practice address

829 57TH St
Suite # 5
Brooklyn, NY 11220-3677

Phone

(718) 686-1108

NPI assigned

Apr 6, 2017

Organization subpart

No

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

Authorized official

Name

Yongming Mao

Title

President

Phone

(718) 686-1108

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491436800000",
    "number": "1881127827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 57TH ST",
            "address_2": "SUITE # 5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203677",
            "telephone_number": "718-686-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 57TH ST",
            "address_2": "SUITE # 5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203677",
            "telephone_number": "718-686-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURON STREET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-06",
        "last_updated": "2017-04-06",
        "status": "A",
        "authorized_official_last_name": "MAO",
        "authorized_official_first_name": "YONGMING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-686-1108"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Health Service Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.