OrganizationActive
Mind Restoration LLC
NPI 1336912732 · Neurodevelopmental Disabilities Physician · Albany, NY
Provider details
- NPI number
- 1336912732
- Entity type
- Organization
- Primary specialty
- Neurodevelopmental Disabilities PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Latisha Myrie, Ceo
Mailing address
418 Broadway Ste Y
Albany, NY 12207-2922
Registry dates
- Enumerated
- 2023-11-07
- Last updated
- 2023-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.