Department Of Neurology Professional Services Group/slrhc | |
1000 10th Ave Suite 3b20 New York NY 10019-1147 | |
(212) 523-7350 | |
(212) 523-7494 |
Full Name | Department Of Neurology Professional Services Group/slrhc |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 1000 10th Ave, New York, New York |
Authorized Official Name and Position | Joel Stephen Delfiner (CHAIRMAN/DEPARTMENT OF NEUROLOGY) |
Authorized Official Contact | 2125236521 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Department Of Neurology Professional Services Group/slrhc Po Box 95000-2392 Philadelphia PA 19195-2392 Ph: (212) 523-7621 | Department Of Neurology Professional Services Group/slrhc 1000 10th Ave Suite 3b20 New York NY 10019-1147 Ph: (212) 523-7350 |
NPI Number | 1811974330 |
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Provider Enumeration Date | 12/27/2005 |
Last Update Date | 03/05/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811974330 | NPI | - | NPPES |
02337680 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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