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DIAGNOSTIC NEUROLOGY PC NPI 1811192248


NPI Information

NPI: 1811192248
Provider Name: DIAGNOSTIC NEUROLOGY PC
Classification: Psychiatry & Neurology - 2084N0600X
Entity Type: Organization

Specialization: Clinical Neurophysiology

Address:
2797 OCEAN PKWY
2 FLOOR
BROOKLYN, NY
ZIP 11235
Phone: (718) 576-1212
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DIAGNOSTIC NEUROLOGY PC is a clinical neurophysiology psychiatry neurology in Brooklyn, NY. The provider is clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). DIAGNOSTIC NEUROLOGY PC NPI is 1811192248. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2797 OCEAN PKWY
2 FLOOR
BROOKLYN, NY
ZIP 11235-868
Phone: (718) 576-1212
Fax: (718) 332-7110

The provider's authorized official is Sergey Zhivotenko .
The authorized official title is President and has the following contact phone number (516) 791-0761.

The enumeration date for this NPI number is 6/16/2007 and was last updated on 3/7/2023.


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 & NeurologyNeurologyNo
22084N0600XPsychiatry & NeurologyClinical NeurophysiologyYes

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
102677663MEDICAIDNEW YORK

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

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