| Massapequa Neurologic,pc | |
|
95 Grand Ave Massapequa NY 11758-4905 | |
| (516) 799-7500 | |
| (516) 799-2075 |
| Full Name | Massapequa Neurologic,pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 95 Grand Ave, Massapequa, New York |
| Authorized Official Name and Position | Teresa A Farrugia (PRESIDENT) |
| Authorized Official Contact | 5167997500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Massapequa Neurologic,pc 95 Grand Ave Massapequa NY 11758-4905 Ph: (516) 799-7500 | Massapequa Neurologic,pc 95 Grand Ave Massapequa NY 11758-4905 Ph: (516) 799-7500 |
| NPI Number | 1396948147 |
|---|---|
| Provider Enumeration Date | 06/08/2007 |
| Last Update Date | 08/27/2020 |
| Certification Date | 08/27/2020 |
| Medicare PECOS PAC ID | 3173624350 |
|---|---|
| Medicare Enrollment ID | O20070719000103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396948147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Teresa Farrugia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861465155 PECOS PAC ID: 0547151565 Enrollment ID: I20040322000167 |
| Provider Name | Tej-preet Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194798280 PECOS PAC ID: 0345262705 Enrollment ID: I20051228000665 |
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