33D2011102 CLIA NUMBER - ALPHA NEUROLOGY MEDICAL CENTER

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Laboratory Demographics

CLIA Number: 33D2011102

Facility Name: ALPHA NEUROLOGY MEDICAL CENTER

Facility Address:
27 NEW DORP LANE BASEMENT - RESEARCH OFFICE
STATEN ISLAND, NY
ZIP 10306
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Facility Phone Number: 718 667-3800

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1881644250

Taxonomy: 2084N0400X - Psychiatry & Neurology
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.

CLIA Record

Field Name	Field Value
CLIA Number	33D2011102
LAB Type	Physician Office
Facility Name	ALPHA NEUROLOGY MEDICAL CENTER
Street	27 NEW DORP LANE BASEMENT - RESEARCH OFFICE
City	STATEN ISLAND
State	NY
ZIP	10306
Phone	718 667-3800
CertificateType	4
CertificateEffectiveDate	8/11/2022
CertificateExpirationDate	8/10/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024