| Dj Neurology, Pc | |
|
445 Park Ave Brooklyn NY 11205-2735 | |
| (718) 963-0800 | |
| Not Available |
| Full Name | Dj Neurology, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 445 Park Ave, Brooklyn, New York |
| Authorized Official Name and Position | Alan S David (PRESIDENT) |
| Authorized Official Contact | 9173637031 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dj Neurology, Pc 160 E 88th St Apt 7k New York NY 10128-2219 Ph: (917) 363-7031 | Dj Neurology, Pc 445 Park Ave Brooklyn NY 11205-2735 Ph: (718) 963-0800 |
| NPI Number | 1366721771 |
|---|---|
| Provider Enumeration Date | 08/16/2011 |
| Last Update Date | 08/16/2011 |
| Medicare PECOS PAC ID | 1355511171 |
|---|---|
| Medicare Enrollment ID | O20110902000033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366721771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 193299 (New York) | Primary |
| Provider Name | Alan S David |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740240613 PECOS PAC ID: 4082683404 Enrollment ID: I20040930001257 |
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