Organization · Type 2 NPI

Modern Neurology, P.c.

Specialist · Great Neck, NY

NPI number 1720200322 Active

Practice location

1010 Northern Boulevard, Suite 208
Great Neck, NY 11021

Call (516) 365-7104 Map

Fax (718) 366-0011

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X220993-1 (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.

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About NPI 1720200322

Modern Neurology, P.c.'s National Provider Identifier is 1720200322, issued on May 3, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Great Neck, NY. The record was last updated on Aug 22, 2020.