| Neuroalliance Llc | |
|
255 Route 3 Ste 202a Secaucus NJ 07094-3857 | |
| (617) 459-2825 | |
| Not Available |
| Full Name | Neuroalliance Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 255 Route 3 Ste 202a, Secaucus, New Jersey |
| Authorized Official Name and Position | Kiandokht Keyhanian (NEUROLOGIST) |
| Authorized Official Contact | 6174592825 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuroalliance Llc 170 Prospect Ave Apt 12f Hackensack NJ 07601-1862 Ph: (617) 459-2825 | Neuroalliance Llc 255 Route 3 Ste 202a Secaucus NJ 07094-3857 Ph: (617) 459-2825 |
| NPI Number | 1407612773 |
|---|---|
| Provider Enumeration Date | 02/26/2024 |
| Last Update Date | 05/19/2025 |
| Certification Date | 05/19/2025 |
| Medicare PECOS PAC ID | 3870021785 |
|---|---|
| Medicare Enrollment ID | O20250106002650 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407612773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Kiandokht Keyhanian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508398546 PECOS PAC ID: 5395019392 Enrollment ID: I20231108000125 |
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