| New Mexico Neuromuscular Center | |
|
2201 Buena Vista Dr Se Ste 313 Albuquerque NM 87106-4291 | |
| (505) 221-6862 | |
| (505) 451-7703 |
| Full Name | New Mexico Neuromuscular Center |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2201 Buena Vista Dr Se Ste 313, Albuquerque, New Mexico |
| Authorized Official Name and Position | Semiramis Sarah Youssof (OWNER) |
| Authorized Official Contact | 5052216862 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Mexico Neuromuscular Center 2201 Buena Vista Dr Se Ste 313 Albuquerque NM 87106-4291 Ph: (505) 221-6862 | New Mexico Neuromuscular Center 2201 Buena Vista Dr Se Ste 313 Albuquerque NM 87106-4291 Ph: (505) 221-6862 |
| NPI Number | 1023527991 |
|---|---|
| Provider Enumeration Date | 09/23/2017 |
| Last Update Date | 05/15/2024 |
| Certification Date | 05/15/2024 |
| Medicare PECOS PAC ID | 4789941808 |
|---|---|
| Medicare Enrollment ID | O20171128002551 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023527991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Semiramis S Youssof |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417193459 PECOS PAC ID: 6305990441 Enrollment ID: I20090824000681 |
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