| Premier Neuromed Services Pc | |
|
1147 Richmond Rd Staten Island NY 10304-2423 | |
| (347) 587-3060 | |
| (347) 587-3062 |
| Full Name | Premier Neuromed Services Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1147 Richmond Rd, Staten Island, New York |
| Authorized Official Name and Position | Igor Stilor (OWNER) |
| Authorized Official Contact | 3475783060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Neuromed Services Pc 1147 Richmond Rd Staten Island NY 10304-2423 Ph: (347) 587-3060 | Premier Neuromed Services Pc 1147 Richmond Rd Staten Island NY 10304-2423 Ph: (347) 587-3060 |
| NPI Number | 1164679460 |
|---|---|
| Provider Enumeration Date | 08/19/2008 |
| Last Update Date | 06/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164679460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 166040 (New York) | Primary |
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