| Amitina Neurology Pc | |
|
16641 Powells Cove Blvd Apt 3d Whitestone NY 11357-1537 | |
| (718) 541-1521 | |
| (718) 631-1866 |
| Full Name | Amitina Neurology Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 16641 Powells Cove Blvd Apt 3d, Whitestone, New York |
| Authorized Official Name and Position | Yelena Amitina (PRESIDENT) |
| Authorized Official Contact | 7185411521 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amitina Neurology Pc 16641 Powells Cove Blvd Apt 3d Whitestone NY 11357-1537 Ph: (718) 541-1521 | Amitina Neurology Pc 16641 Powells Cove Blvd Apt 3d Whitestone NY 11357-1537 Ph: (718) 541-1521 |
| NPI Number | 1780854232 |
|---|---|
| Provider Enumeration Date | 03/11/2008 |
| Last Update Date | 03/11/2008 |
| Medicare PECOS PAC ID | 3476639626 |
|---|---|
| Medicare Enrollment ID | O20080327000642 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780854232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 224927-1 (New York) | Primary |
| Provider Name | Yelena Amitina |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548380892 PECOS PAC ID: 8527028521 Enrollment ID: I20041014000182 |
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