Modern Neurology, P.C. in Great Neck - Specialist
Modern Neurology, P.C. - NPI 1720200322
Modern Neurology, P.C. is a Specialist in Great Neck, New York. Modern Neurology, P.C. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Modern Neurology, P.C. is 1720200322. The last update date is 2020-08-22.
Modern Neurology, P.C.'s current location address is 1010 Northern Boulevard, Great Neck, New York. You can contact this provider via phone number 5163657104 and fax number 7183660011. The mailing address for Modern Neurology, P.C. is 1010 Northern Boulevard, Great Neck, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Modern Neurology, P.C. |
|---|---|
| Address | 1010 Northern Boulevard, Great Neck, New York |
| Phone Number | 5163657104 |
| Fax Number | 7183660011 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRINCIPAL |
|---|---|
| Authorized Official Name | Haddad Samir |
| Credentials | M.D. |
| Telephone Number | 5163657104 |
NPI Number Detail
| NPI Number | 1720200322 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1010 Northern Boulevard |
|---|---|
| City | Great Neck |
| State | New York (NY) |
| Post Code | 11021 |
| Phone Number | 5163657104 |
| Fax Number | 7183660011 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 220993-1 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique identifier code issued to Modern Neurology, P.C. by the Centers for Medicare & Medicaid Services?
The Modern Neurology, P.C. has been assigned the NPI (National Provider Identifier) 1720200322. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Modern Neurology, P.C. located?
The Modern Neurology, P.C. is located at 1010 Northern Boulevard, Great Neck, NY 11021.
What is Modern Neurology, P.C.'s area of expertise and its corresponding taxonomy classification?
The Modern Neurology, P.C.'s field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
When did the Modern Neurology, P.C. receive its 1720200322?
The Modern Neurology, P.C. was issued its 1720200322 on 2007-05-03, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Modern Neurology, P.C., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Modern Neurology, P.C., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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