| NPI | 1235613209 |
|---|---|
| Doing Business As | MYSTROKECLINIC |
| Entity Type | Organization |
| Authorized Contact | SUSHMA MANDA CEO 315-313-0146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2021-09-19 |