| Neurologic Consultations Md Pc | |
|
354 E 76th St New York NY 10021-2505 | |
| (212) 570-0642 | |
| (212) 570-0673 |
| Full Name | Neurologic Consultations Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 354 E 76th St, New York, New York |
| Authorized Official Name and Position | Samuel Rapoport (PRESIDENT) |
| Authorized Official Contact | 2125700642 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurologic Consultations Md Pc 354 E 76th St New York NY 10021-2505 Ph: (212) 570-0642 | Neurologic Consultations Md Pc 354 E 76th St New York NY 10021-2505 Ph: (212) 570-0642 |
| NPI Number | 1154503571 |
|---|---|
| Provider Enumeration Date | 11/27/2007 |
| Last Update Date | 04/21/2011 |
| Medicare PECOS PAC ID | 3678758455 |
|---|---|
| Medicare Enrollment ID | O20110420000403 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154503571 | NPI | - | NPPES |
| Provider Name | Samuel Rapoport |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285696310 PECOS PAC ID: 5799960266 Enrollment ID: I20110427000103 |
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