Organization · Type 2 NPI

1155 Neuro Pain Services, PC

Specialist · Fresh Meadows, NY

NPI number 1306994959 Active

Practice location

16408 65th Ave
Fresh Meadows, NY 11365-1803

Fax (718) 460-5111

Mailing address

1155 Northern Blvd
Manhasset, NY 11030-3040

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X203454 (NY)

Specialist: 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.

2 other providers at this address

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About NPI 1306994959

1155 Neuro Pain Services, PC's National Provider Identifier is 1306994959, issued on Jan 8, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fresh Meadows, NY. The record was last updated on Mar 14, 2008.