person
Dr. Fred A Lado, MD
Clinical Neurophysiology Physician in Great Neck, New York
NPI 1346325644

Fred A Lado is a Clinical Neurophysiology Physician based in New York, NY and is specialized in Clinical Neurophysiology. Fred A Lado practices in Great Neck, NY and has the professional credentials of MD. The NPI Number for Fred A Lado is 1346325644 and holds a License No. 196511 (New York).

The current practice location address for Fred A Lado is 611 Northern Blvd Ste 150, Great Neck, NY and can be reached out via phone at 516-325-7000 and via fax at 516-325-7001. You can also correspond with Fred A Lado through the mailing address at 215 W 92ND ST, NEW YORK, NY - 10025-7444 (mailing address contact number: 917-608-1881).

Location: 611 Northern Blvd Ste 150, Great Neck, NY, 10025-7444
person
Provider Profile Details
NPI Number
1346325644
Provider Name
Fred A Lado
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
611 Northern Blvd Ste 150, Great Neck, NY, 10025-7444
Phone Number
516-325-7000
Fax Number
516-325-7001
Provider Enumeration Date
10/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2530734 01 NY US HEALTH - AETNA PIN
P2852741 01 NY OXFORD PIN
13-1740114 01 NY MMC TAX ID
30200 01 NY MONTE CMO
439N91 01 NY BLUE SHIELD PIN
N65876 01 NY HEALTHNET-PHS PIN
0099245 01 NY CIGNA PIN
196511 01 NY NYS LICENSE
P2456425 01 NY OXFORD PIN
02276882 05 NY
10000021415 01 NY AFFINITY HEALTH PIN
196511-A14 01 NY HEALTH FIRST PIN
institution
Provider Business Practice Location Address Details
Address
611 Northern Blvd Ste 150
City
State
Zip
11021-5207
Phone Number
516-325-7000
Fax Number
516-325-7001
person
Provider Business Mailing Address Details
Address
611 Northern Blvd Ste 150
City
State
Zip
11021-5207
Phone Number
516-325-7000
Fax Number
516-325-7001
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
License No.
196511 (New York)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Clinical Neurophysiology
Taxonomy
License No.
196511 (New York)
Definition
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
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