33D2073666 CLIA NUMBER - COMPLETE NEUROLOGICAL CARE PC

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Laboratory Demographics

CLIA Number: 33D2073666

Facility Name: COMPLETE NEUROLOGICAL CARE PC

Facility Address:
112-47 QUEENS BOULEVARD, SUITE 206
FOREST HILLS, NY
ZIP 11375
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Facility Phone Number: 718 544-4200

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1962775882

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	33D2073666
LAB Type	Physician Office
Facility Name	COMPLETE NEUROLOGICAL CARE PC
Street	112-47 QUEENS BOULEVARD, SUITE 206
City	FOREST HILLS
State	NY
ZIP	11375
Phone	718 544-4200
CertificateType	4
CertificateEffectiveDate	2/21/2024
CertificateExpirationDate	2/20/2026
FacilityType	Waiver

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