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15 Barstow Rd, Great Neck, NY 11021-2211 | |
(516) 487-9414 | |
(516) 487-2302 |
Full Name | |
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Type | Facility |
Speciality | Psychiatry & Neurology - Neurology |
Location | 15 Barstow Rd, Great Neck, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1518396308 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NN0400X | Chiropractor - Neurology | 002823 (New York) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | 260969 (New York) | Primary |
Provider Name | Scott N Surasky |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1265527105 PECOS PAC ID: 0840495065 Enrollment ID: I20110427000418 |
Provider Name | Russell S Surasky |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1538484647 PECOS PAC ID: 5092971416 Enrollment ID: I20120730000112 |
Mailing Address | Practice Location Address |
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15 Barstow Rd, Great Neck, NY 11021-2211 Ph: (516) 487-9414 | 15 Barstow Rd, Great Neck, NY 11021-2211 Ph: (516) 487-9414 |