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NEUROLOGICAL CLINICAL ASSOCIATE PC NPI 1144267956


NPI Information

NPI: 1144267956
Provider Name: NEUROLOGICAL CLINICAL ASSOCIATE PC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

CLIA Number: 33D1090280

Address:
760 MADISON AVE
ALBANY, NY
ZIP 12208
Phone: (518) 449-2662
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NEUROLOGICAL CLINICAL ASSOCIATE PC is a neurology psychiatry neurology in Albany, NY. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. NEUROLOGICAL CLINICAL ASSOCIATE PC NPI is 1144267956. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

760 MADISON AVE
ALBANY, NY
ZIP 12208-428
Phone: (518) 449-2662
Fax: (518) 449-1342

The provider's authorized official is Richard F Holub .
The authorized official title is President and has the following contact phone number (518) 449-2662.

The CLIA number assigned to this NPI record is 33D1090280 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/1/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurology120621-1NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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