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PELHAM PKWAY NEUROLOGY AND DIAGNOSTIC PC NPI 1609015395


NPI Information

NPI: 1609015395
Provider Name: PELHAM PKWAY NEUROLOGY AND DIAGNOSTIC, PC

Doing Business As: BROADWAY MEDICAL CARE

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
41-14 JUDGE STREET
ELMHURST, NY
ZIP 11373
Phone: (516) 620-4246
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PELHAM PKWAY NEUROLOGY AND DIAGNOSTIC, PC is a specialist in Elmhurst, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PELHAM PKWAY NEUROLOGY AND DIAGNOSTIC, PC NPI is 1609015395. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Broadway Medical Care.

The provider's business location address is:

41-14 JUDGE STREET
ELMHURST, NY
ZIP 11373-344
Phone: (516) 620-4246
Fax: (516) 620-6807

The provider's authorized official is Syed M Jalal .
The authorized official title is Owner and has the following contact phone number (516) 620-4246.

The enumeration date for this NPI number is 2/19/2009 and was last updated on 2/19/2009.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist206287NEW YORKYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101872788MEDICAIDNEW 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: 5/5/2024

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