| Neuropsychologic Associates, Pllc | |
|
500 W Main St Suite 208 Babylon NY 11702-3027 | |
| (631) 482-1200 | |
| Not Available |
| Full Name | Neuropsychologic Associates, Pllc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 500 W Main St, Babylon, New York |
| Authorized Official Name and Position | Robert Louis Villanella (SOLE MEMBER) |
| Authorized Official Contact | 6314821200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuropsychologic Associates, Pllc 500 W Main St Suite 208 Babylon NY 11702-3027 Ph: (631) 482-1200 | Neuropsychologic Associates, Pllc 500 W Main St Suite 208 Babylon NY 11702-3027 Ph: (631) 482-1200 |
| NPI Number | 1275791972 |
|---|---|
| Provider Enumeration Date | 05/29/2008 |
| Last Update Date | 05/29/2008 |
| Medicare PECOS PAC ID | 6800966771 |
|---|---|
| Medicare Enrollment ID | O20080604000114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275791972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 014582 (New York) | Primary |
| Provider Name | Robert L Villanella |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962420737 PECOS PAC ID: 4688662968 Enrollment ID: I20040505000166 |
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