NPI 1407079643 · live from the CMS NPI Registry
Eastside Neurology, INC.
Psychiatry & Neurology, Neurology in East Providence, RI. National Provider Identifier 1407079643, active.
NPI record
| NPI | 1407079643 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 450 Veterans Memorial Pkwy, Building 11, East Providence, RI 02914 |
| Practice phone | 401-431-1860 |
| Enumerated | April 10, 2007 |
| Last updated | May 21, 2026 |
| Authorized official | Norman Gordon, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 7343 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.