33D2152870 CLIA NUMBER - NEUROLOGICAL ASSOCIATES OF LONG ISLAND PC

Laboratory Demographics

CLIA Number: 33D2152870

Facility Name: NEUROLOGICAL ASSOCIATES OF LONG ISLAND PC

Facility Address:
1991 MARCUS AVENUE - STE 110
LAKE SUCCESS, NY
ZIP 11042
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Facility Phone Number: 516 466-4700

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1629013495

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 33D2152870
LAB Type Physician Office
Facility Name NEUROLOGICAL ASSOCIATES OF LONG ISLAND PC
Street 1991 MARCUS AVENUE - STE 110
City LAKE SUCCESS
State NY
ZIP 11042
Phone 516 466-4700
CertificateType 4
CertificateEffectiveDate 8/17/2022
CertificateExpirationDate 8/16/2024
FacilityType Waiver

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