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Modern Neurology, P.c.
Specialist in Great Neck, New York
NPI 1720200322

Modern Neurology, P.c. is a Specialist based in Great Neck, NY. Modern Neurology, P.c. practices in Great Neck, NY. The NPI Number for Modern Neurology, P.c. is 1720200322 and holds a License No. 220993-1 (New York).

The current practice location address for Modern Neurology, P.c. is 1010 Northern Boulevard, Great Neck, NY and can be reached out via phone at 516-365-7104 and via fax at 718-366-0011.

Location: 1010 Northern Boulevard, Great Neck, NY, 11021
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720200322
Provider Name
Modern Neurology, P.c.
Credential
Provider Entity Type
Organization
Address
1010 Northern Boulevard, Great Neck, NY, 11021
Phone Number
516-365-7104
Fax Number
718-366-0011
Provider Enumeration Date
05/03/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1010 Northern Boulevard
City
Great Neck
State
New York
Zip
11021
Phone Number
516-365-7104
Fax Number
718-366-0011
person
Provider Business Mailing Address Details
Address
1010 Northern Boulevard
City
Great Neck
State
New York
Zip
11021
Phone Number
516-365-7104
Fax Number
718-366-0011
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
220993-1 (New York)
Definition
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.
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