| NPI | 1902101199 |
|---|---|
| Doing Business As | COMMONWEALTH NEUROSCIENCE CENTER |
| Entity Type | Organization |
| Authorized Contact | DEEPA NIDHIRY President 859-236-5366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: KY 42286) |
| Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine (Licence: KY 42286) |
| 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: KY 42286) | |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2016-07-05 |