| Neurology Practice Of Ny Pc | |
|
8 Cornwall Ln Apt 2t Carle Place NY 11514-1077 | |
| (646) 479-3871 | |
| Not Available |
| Full Name | Neurology Practice Of Ny Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8 Cornwall Ln Apt 2t, Carle Place, New York |
| Authorized Official Name and Position | Narmina R Dzhafarova (OWNER) |
| Authorized Official Contact | 6464793871 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Practice Of Ny Pc 8 Cornwall Ln Apt 2t Carle Place NY 11514-1077 Ph: (646) 479-3871 | Neurology Practice Of Ny Pc 8 Cornwall Ln Apt 2t Carle Place NY 11514-1077 Ph: (646) 479-3871 |
| NPI Number | 1568730703 |
|---|---|
| Provider Enumeration Date | 12/02/2011 |
| Last Update Date | 12/02/2011 |
| Medicare PECOS PAC ID | 1850568908 |
|---|---|
| Medicare Enrollment ID | O20120113000048 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568730703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 251805 (New York) | Primary |
| Provider Name | Narmina Dzhafarova |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912164849 PECOS PAC ID: 0547459588 Enrollment ID: I20110106000837 |
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