Organization Name: | NEUROLOGICAL ASSOCIATES OF LONG ISLAND, PC |
NPI Number: | 1629013495 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERIKA L KORETZ (OFFICE ADMINISTRATOR) |
Mailing Address: | 1991 Marcus Avenue Suite 110 Lake Success |
State: | NY US |
Postal Code: | 110422057 |
Phone Number: | 5164664700 |
Fax Number: | 5164664810 |
NPI Enumeration Date: | 06/17/2006 |
NPI Last Update Date: | 03/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy 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. |