| New York Neurology Services Pc | |
|
9405 60th Ave Elmhurst NY 11373-5069 | |
| (718) 393-3965 | |
| Not Available |
| Full Name | New York Neurology Services Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9405 60th Ave, Elmhurst, New York |
| Authorized Official Name and Position | Anil K Kapoor (MD) |
| Authorized Official Contact | 7183933965 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New York Neurology Services Pc 9405 60th Ave Elmhurst NY 11373-5069 Ph: (718) 393-3965 | New York Neurology Services Pc 9405 60th Ave Elmhurst NY 11373-5069 Ph: (718) 393-3965 |
| NPI Number | 1225121320 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 03/18/2013 |
| Medicare PECOS PAC ID | 7214980747 |
|---|---|
| Medicare Enrollment ID | O20050224000737 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225121320 | NPI | - | NPPES |
| 01854228 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 208863 (New York) | Primary |
| Provider Name | Anil K Kapoor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427070853 PECOS PAC ID: 9436111044 Enrollment ID: I20120210000620 |
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