| Nassau Suffolk Neurology, Pc | |
|
400 W Main St Ste 100 Babylon NY 11702-3009 | |
| (631) 422-8822 | |
| (631) 422-0798 |
| Full Name | Nassau Suffolk Neurology, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 400 W Main St Ste 100, Babylon, New York |
| Authorized Official Name and Position | Anthony F Adamo (PRESIDENT) |
| Authorized Official Contact | 6314228822 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nassau Suffolk Neurology, Pc 400 W Main St Ste 100 Babylon NY 11702-3009 Ph: (631) 422-8822 | Nassau Suffolk Neurology, Pc 400 W Main St Ste 100 Babylon NY 11702-3009 Ph: (631) 422-8822 |
| NPI Number | 1801196456 |
|---|---|
| Provider Enumeration Date | 10/29/2010 |
| Last Update Date | 03/21/2024 |
| Certification Date | 03/21/2024 |
| Medicare PECOS PAC ID | 7315929098 |
|---|---|
| Medicare Enrollment ID | O20040605000129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801196456 | NPI | - | NPPES |
| 01770130 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 175848-1 (New York) | Primary |
| Provider Name | Anthony Adamo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992817456 PECOS PAC ID: 2668454349 Enrollment ID: I20040617000983 |
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