A Shatla Neurology Llc | |
210 Old Campion Rd New Hartford NY 13413 | |
(315) 266-2078 | |
(315) 735-3910 |
Full Name | A Shatla Neurology Llc |
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Speciality | Psychiatry & Neurology - Neurology |
Location | 210 Old Campion Rd, New Hartford, New York |
Authorized Official Name and Position | Ahmed Abdelhady Shatla (DOCTOR OWNER) |
Authorized Official Contact | 3152662078 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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A Shatla Neurology Llc 210 Old Campion Rd New Hartford NY 13413 Ph: (315) 266-2078 | A Shatla Neurology Llc 210 Old Campion Rd New Hartford NY 13413 Ph: (315) 266-2078 |
NPI Number | 1649339318 |
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Provider Enumeration Date | 12/08/2006 |
Last Update Date | 06/01/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649339318 | NPI | - | NPPES |
02155131 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 214256 (New York) | Primary |
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