| Organization Name: | ADVANCED NEUROLOGICAL CARE P.C. |
| NPI Number: | 1427245075 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KERIN BELLER HAUSKNECHT (OWNER/DOCTOR) |
| Mailing Address: | 23 Langdon Pl Lynbrook |
| State: | NY US |
| Postal Code: | 115632414 |
| Phone Number: | 5163744451 |
| Fax Number: | |
| NPI Enumeration Date: | 09/27/2007 |
| NPI Last Update Date: | 04/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204D00000X |
| License Number: | 202181 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |