| Neurotest Of New York Medical Pllc | |
|
245 5th Ave Fl 3 New York NY 10016-8728 | |
| (212) 547-0738 | |
| (872) 241-0322 |
| Full Name | Neurotest Of New York Medical Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 245 5th Ave Fl 3, New York, New York |
| Authorized Official Name and Position | Thomas Hoang (EMPLOYER) |
| Authorized Official Contact | 2125470738 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurotest Of New York Medical Pllc 909 3rd Ave Unit 6768 New York NY 10150-2082 Ph: (212) 547-0738 | Neurotest Of New York Medical Pllc 245 5th Ave Fl 3 New York NY 10016-8728 Ph: (212) 547-0738 |
| NPI Number | 1174103170 |
|---|---|
| Provider Enumeration Date | 04/13/2021 |
| Last Update Date | 04/15/2021 |
| Certification Date | 04/15/2021 |
| Medicare PECOS PAC ID | 4880002211 |
|---|---|
| Medicare Enrollment ID | O20210422002677 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174103170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Thomas William Hoang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912090598 PECOS PAC ID: 8820310212 Enrollment ID: I20141215001898 |
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