| Organization Name: | DENT NEUORLOGIC INSTITUTE |
| NPI Number: | 1083764773 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARY BETH SABA (BUSINESS OFFICE MANAGER) |
| Mailing Address: | 200 Sterling Dr Orchard Park |
| State: | NY US |
| Postal Code: | 141271558 |
| Phone Number: | 7162502000 |
| Fax Number: | 7162500320 |
| NPI Enumeration Date: | 01/12/2007 |
| NPI Last Update Date: | 04/09/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
| Taxonomy Definition: | |