Neurological Services Llc | |
18 Anise Ct Manahawkin NJ 08050-5610 | |
(917) 318-3773 | |
Not Available |
Full Name | Neurological Services Llc |
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Speciality | Psychiatry & Neurology |
Location | 18 Anise Ct, Manahawkin, New Jersey |
Authorized Official Name and Position | Vladimir Klinov (PRESIDENT) |
Authorized Official Contact | 9173183773 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Neurological Services Llc 18 Anise Ct Manahawkin NJ 08050-5610 Ph: (917) 318-3773 | Neurological Services Llc 18 Anise Ct Manahawkin NJ 08050-5610 Ph: (917) 318-3773 |
NPI Number | 1548914310 |
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Provider Enumeration Date | 02/09/2022 |
Last Update Date | 03/24/2022 |
Certification Date | 03/22/2022 |
Medicare PECOS PAC ID | 2567858905 |
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Medicare Enrollment ID | O20220412000010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548914310 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084E0001X | Psychiatry & Neurology - Epilepsy | (* (Not Available)) | Primary |
Provider Name | Vladimir Klinov |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1194764076 PECOS PAC ID: 6800181496 Enrollment ID: I20160822001162 |
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