| Paradigm Neurological Services, Pc | |
|
21814 Northern Blvd Suite 101 Bayside NY 11361-3581 | |
| (718) 229-4868 | |
| Not Available |
| Full Name | Paradigm Neurological Services, Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Pain Medicine |
| Location | 21814 Northern Blvd, Bayside, New York |
| Authorized Official Name and Position | Charles H Bagley (OWNER) |
| Authorized Official Contact | 7182294868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paradigm Neurological Services, Pc 21814 Northern Blvd Suite 101 Bayside NY 11361-3581 Ph: (718) 229-4868 | Paradigm Neurological Services, Pc 21814 Northern Blvd Suite 101 Bayside NY 11361-3581 Ph: (718) 229-4868 |
| NPI Number | 1881955086 |
|---|---|
| Provider Enumeration Date | 06/04/2012 |
| Last Update Date | 06/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881955086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P2900X | Psychiatry & Neurology - Pain Medicine | 132024 (New York) | Primary |
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