Pediatric Neurology, Inc. | |
2138 Mendon Rd Unit 104 Cumberland RI 02864-3834 | |
(401) 334-0424 | |
Not Available |
Full Name | Pediatric Neurology, Inc. |
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Speciality | Psychiatry & Neurology |
Location | 2138 Mendon Rd, Cumberland, Rhode Island |
Authorized Official Name and Position | Maria C. Younes (PRESIDENT) |
Authorized Official Contact | 4013340424 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pediatric Neurology, Inc. 2138 Mendon Rd Unit 104 Cumberland RI 02864-3834 Ph: (401) 334-0424 | Pediatric Neurology, Inc. 2138 Mendon Rd Unit 104 Cumberland RI 02864-3834 Ph: (401) 334-0424 |
NPI Number | 1720121635 |
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Provider Enumeration Date | 02/14/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 1052360237 |
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Medicare Enrollment ID | O20050114000005 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720121635 | NPI | - | NPPES |
PN44005 | Medicaid | RI |
Taxonomy | Type | License (State) | Status |
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2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | 7691 (Rhode Island) | Primary |
Provider Name | Maria C Younes |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1205840659 PECOS PAC ID: 2062461197 Enrollment ID: I20050117000008 |
Provider Name | Andrea Claude Younes |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1255728481 PECOS PAC ID: 9133525355 Enrollment ID: I20210913002821 |
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