Provider Type Icon

MMC DIVISION OF NEUROLOGY FPP NPI 1497838114


NPI Information

NPI: 1497838114
Provider Name: MMC DIVISION OF NEUROLOGY FPP
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
883 65TH STREET
BROOKLYN, NY
ZIP 11220
Phone: (718) 283-7470
Get Directions

MMC DIVISION OF NEUROLOGY FPP is a neurology psychiatry neurology in Brooklyn, 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. MMC DIVISION OF NEUROLOGY FPP NPI is 1497838114. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

883 65TH STREET
BROOKLYN, NY
ZIP 11220
Phone: (718) 283-7470
Fax: (718) 635-6082

The provider's authorized official is Marshall Keilson .
The authorized official title is Director Of Neurology and has the following contact phone number (718) 283-5858.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 8/20/2008.


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 & NeurologyNeurologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1WES861MEDICARE PIN

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.