| Favate Neurology Pc | |
|
80 Fifth Avenue Suite 1605 New York NY 10011 | |
| (212) 675-3878 | |
| (212) 647-1931 |
| Full Name | Favate Neurology Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 80 Fifth Avenue Suite 1605, New York, New York |
| Authorized Official Name and Position | Albert Favate (PRESIDENT) |
| Authorized Official Contact | 2126753878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Favate Neurology Pc 80 Fifth Avenue Suite 1605 New York NY 10011 Ph: (212) 675-3878 | Favate Neurology Pc 80 Fifth Avenue Suite 1605 New York NY 10011 Ph: (212) 675-3878 |
| NPI Number | 1306149778 |
|---|---|
| Provider Enumeration Date | 12/07/2010 |
| Last Update Date | 12/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306149778 | NPI | - | NPPES |
| P3239454 | Other | OXFORD | |
| 01602400 | Medicaid | NY | |
| 7C6669 | Other | HEALTHNET | |
| 4637585 | Other | NY | AETNA PPO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 161583 (New York) | Primary |
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