NEUROLOGICAL ASSOCIATES OF LONG ISLAND PC NPI 1629013495

NPI Information

NPI: 1629013495
Provider Name: NEUROLOGICAL ASSOCIATES OF LONG ISLAND, PC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

CLIA Number: 33D2152870

Address:
1991 MARCUS AVENUE
SUITE 110
LAKE SUCCESS, NY
ZIP 11042
Phone: (516) 466-4700
Get Directions

NEUROLOGICAL ASSOCIATES OF LONG ISLAND, PC is a neurology psychiatry neurology in Lake Success, NY. The provider is 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. NEUROLOGICAL ASSOCIATES OF LONG ISLAND, PC NPI is 1629013495. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1991 MARCUS AVENUE
SUITE 110
LAKE SUCCESS, NY
ZIP 11042-057
Phone: (516) 466-4700
Fax: (516) 466-4810

The provider's authorized official is Erika L Koretz .
The authorized official title is Office Administrator and has the following contact phone number (516) 466-4700.

The CLIA number assigned to this NPI record is 33D2152870 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/17/2006 and was last updated on 2/21/2024.

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
1	174400000X	Specialist				No
2	2084N0400X	Psychiatry & Neurology	Neurology			Yes

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
1	41996	OTHER	NEW YORK	AETNA INS

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

NPI Synchronization or Removal

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