UPPER EAST SIDE COMMUNITY NEUROLOGY PC NPI 1790114577

NPI Information

NPI: 1790114577
Provider Name: UPPER EAST SIDE COMMUNITY NEUROLOGY PC
Classification: Clinic/Center - 261QM2500X
Specialization: Medical Specialty
Entity Type: Organization
Address: 17 E 96TH ST
1B
NEW YORK, NY
ZIP 10128
Phone: (212) 427-4852

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NPI Details

UPPER EAST SIDE COMMUNITY NEUROLOGY PC is a medical specialty clinic center in New York, NY. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). UPPER EAST SIDE COMMUNITY NEUROLOGY PC NPI is 1790114577. The provider is registered as an organization entity type.

The provider's business location address is:

17 E 96TH ST
1B
NEW YORK, NY
ZIP 10128-783
Phone: (212) 427-4852
Fax: (646) 439-9226

The provider's authorized official is Caroline M Badeer .
The authorized official title is President and has the following contact phone number (212) 427-4852.

The enumeration date for this NPI number is 11/2/2013 and was last updated on 11/2/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM2500X	Clinic/Center	Medical Specialty	252686	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A400051624	MEDICARE PIN	NEW YORK
2	03347133	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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