| Neurologic Specialties, Llc | |
|
211 Essex St Ste 202 Hackensack NJ 07601-3245 | |
| (201) 488-1515 | |
| (201) 488-9471 |
| Full Name | Neurologic Specialties, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 211 Essex St Ste 202, Hackensack, New Jersey |
| Authorized Official Name and Position | Anthony I Marquinez (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2014881515 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurologic Specialties, Llc 211 Essex St Ste 202 Hackensack NJ 07601-3245 Ph: (201) 488-1515 | Neurologic Specialties, Llc 211 Essex St Ste 202 Hackensack NJ 07601-3245 Ph: (201) 488-1515 |
| NPI Number | 1598199838 |
|---|---|
| Provider Enumeration Date | 08/22/2013 |
| Last Update Date | 08/22/2013 |
| Medicare PECOS PAC ID | 8820229792 |
|---|---|
| Medicare Enrollment ID | O20140319000796 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598199838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 25MA06750200 (New Jersey) | Primary |
| Provider Name | Anthony I Marquinez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699742551 PECOS PAC ID: 2062409758 Enrollment ID: I20040426001595 |
| Provider Name | Subasini Dash |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285693515 PECOS PAC ID: 7810945748 Enrollment ID: I20061107000184 |
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