Organization · Type 2 NPI

Lake Success Neurological Surgery PC

EEG Specialist/Technologist · New Hyde Park, NY

NPI number 1487984522 Active

Practice location

1991 Marcus Ave, Suite 108
New Hyde Park, NY 11042-2057

Fax (516) 442-1897

Specialties and licenses

TaxonomyCodeLicense
EEG Specialist/Technologist Primary 246ZE0500XNone listed
Surgical Physician Assistant 363AS0400XNone listed

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About NPI 1487984522

Lake Success Neurological Surgery PC's National Provider Identifier is 1487984522, issued on Jan 13, 2010. The primary taxonomy on file is EEG Specialist/Technologist (246ZE0500X), and the practice location is in New Hyde Park, NY. The record was last updated on Jan 13, 2010.