| Cny Neurological Consulting Pllc | |
|
5000 Brittonfield Pkwy A116 East Syracuse NY 13057 | |
| (315) 634-5550 | |
| (315) 634-5553 |
| Full Name | Cny Neurological Consulting Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5000 Brittonfield Pkwy, East Syracuse, New York |
| Authorized Official Name and Position | Hassan Shukri (OWNER) |
| Authorized Official Contact | 3156345550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cny Neurological Consulting Pllc 5000 Brittonfield Parkway Suite A116 East Syracuse NY 13057 Ph: (315) 634-5550 | Cny Neurological Consulting Pllc 5000 Brittonfield Pkwy A116 East Syracuse NY 13057 Ph: (315) 634-5550 |
| NPI Number | 1235208406 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 05/23/2013 |
| Medicare PECOS PAC ID | 9234152422 |
|---|---|
| Medicare Enrollment ID | O20060113000599 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235208406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 195245 (* (Not Available)) | Primary |
| Provider Name | Rose D Soto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376591099 PECOS PAC ID: 8224016761 Enrollment ID: I20040710000268 |
| Provider Name | Hassan S Shukri-mahmod |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366519597 PECOS PAC ID: 3577586270 Enrollment ID: I20060109000725 |
| Provider Name | Anne M Dow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356481253 PECOS PAC ID: 6901075399 Enrollment ID: I20150413002234 |
| Provider Name | Lane M Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235730102 PECOS PAC ID: 3971900572 Enrollment ID: I20210924000506 |
| Provider Name | Kelly A Conley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972232643 PECOS PAC ID: 1951770569 Enrollment ID: I20221202002057 |
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