| Neurologic Arts Associated, Llc | |
|
104 Bennett Ave Suite 2b Milford PA 18337-9759 | |
| (570) 296-5188 | |
| (570) 296-2296 |
| Full Name | Neurologic Arts Associated, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 104 Bennett Ave, Milford, Pennsylvania |
| Authorized Official Name and Position | Bernard M Weintraub (ADMINISTRATOR) |
| Authorized Official Contact | 5702965188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurologic Arts Associated, Llc 104 Bennett Ave Suite 2b Milford PA 18337-9759 Ph: (570) 296-5188 | Neurologic Arts Associated, Llc 104 Bennett Ave Suite 2b Milford PA 18337-9759 Ph: (570) 296-5188 |
| NPI Number | 1801829619 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 08/18/2011 |
| Medicare PECOS PAC ID | 9931108156 |
|---|---|
| Medicare Enrollment ID | O20070215000420 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801829619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Yevgeniy I Khesin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821098500 PECOS PAC ID: 5991796765 Enrollment ID: I20040625000125 |
| Provider Name | Pavel P Tishuk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205088572 PECOS PAC ID: 4587833900 Enrollment ID: I20140225000087 |
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