All Island Neurology Pc | |
11617 Atlantic Ave Richmond Hill NY 11418-3141 | |
(516) 279-6210 | |
(516) 596-8979 |
Full Name | All Island Neurology Pc |
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Speciality | Psychiatry & Neurology |
Location | 11617 Atlantic Ave, Richmond Hill, New York |
Authorized Official Name and Position | Anila Siddiqui (OWNER) |
Authorized Official Contact | 5162796210 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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All Island Neurology Pc 11617 Atlantic Ave Richmond Hill NY 11418-3141 Ph: (516) 279-6210 | All Island Neurology Pc 11617 Atlantic Ave Richmond Hill NY 11418-3141 Ph: (516) 279-6210 |
NPI Number | 1184279085 |
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Provider Enumeration Date | 08/07/2019 |
Last Update Date | 08/07/2019 |
Medicare PECOS PAC ID | 3870927551 |
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Medicare Enrollment ID | O20200106001915 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184279085 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Provider Name | Anila Q Siddiqui |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1417127333 PECOS PAC ID: 0941365944 Enrollment ID: I20090206000396 |
Provider Name | Jean Wany |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376938803 PECOS PAC ID: 8022338599 Enrollment ID: I20150522002086 |
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