Organization Name: | NORTHERN NEUROLOGIC MONITORING SYSTEMS PC |
NPI Number: | 1255565404 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | REBECCA A RHODES (CHIEF OPERATING OFFICER) |
Mailing Address: | 22 The Moor East Islip |
State: | NY US |
Postal Code: | 117302921 |
Phone Number: | 6313742666 |
Fax Number: | |
NPI Enumeration Date: | 05/03/2009 |
NPI Last Update Date: | 05/03/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246ZE0600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | Electroneurodiagnostic |
Taxonomy Definition: |