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COMPLETE NEUROLOGICAL CARE PC NPI 1962775882


NPI Information

NPI: 1962775882
Provider Name: COMPLETE NEUROLOGICAL CARE PC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

CLIA Number: 33D2073666

Address:
11247 QUEENS BLVD
STE 206
FOREST HILLS, NY
ZIP 11375
Phone: (718) 544-4200
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COMPLETE NEUROLOGICAL CARE PC is a neurology psychiatry neurology in Forest Hills, 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. COMPLETE NEUROLOGICAL CARE PC NPI is 1962775882. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11247 QUEENS BLVD
STE 206
FOREST HILLS, NY
ZIP 11375-417
Phone: (718) 544-4200
Fax: (718) 544-4201

The provider's authorized official is Ellen Edgar .
The authorized official title is Owner and has the following contact phone number (718) 544-4200.

The CLIA number assigned to this NPI record is 33D2073666 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/23/2012 and was last updated on 1/28/2015.


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
1208100000XPhysical Medicine & RehabilitationNo
22084N0400XPsychiatry & NeurologyNeurologyYes

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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