Provider Demographics
NPI:1619472271
Name:MOVING BRAINS NEUROLOGICAL CARE, PLLC
Entity type:Organization
Organization Name:MOVING BRAINS NEUROLOGICAL CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUTHORIZED OFFICIAL
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:CARLOS
Authorized Official - Last Name:CABASSA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-952-0007
Mailing Address - Street 1:205 E 111TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-2901
Mailing Address - Country:US
Mailing Address - Phone:646-952-0007
Mailing Address - Fax:646-864-0237
Practice Address - Street 1:205 E 111TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-2901
Practice Address - Country:US
Practice Address - Phone:646-864-0213
Practice Address - Fax:646-864-0237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-27
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty