| R.i. Neurodiagnostics & Rehabilitation | |
|
900 Reservoir Ave Cranston RI 02910-4417 | |
| (401) 714-0222 | |
| (401) 714-0220 |
| Full Name | R.i. Neurodiagnostics & Rehabilitation |
|---|---|
| Speciality | Psychiatry & Neurology - Clinical Neurophysiology |
| Location | 900 Reservoir Ave, Cranston, Rhode Island |
| Authorized Official Name and Position | Richard Louis Cervone (PRESIDENT) |
| Authorized Official Contact | 4017140222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R.i. Neurodiagnostics & Rehabilitation 900 Reservoir Ave Cranston RI 02910-4417 Ph: (401) 714-0222 | R.i. Neurodiagnostics & Rehabilitation 900 Reservoir Ave Cranston RI 02910-4417 Ph: (401) 714-0222 |
| NPI Number | 1639207319 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639207319 | NPI | - | NPPES |
| 26655-2 | Other | RI | BLUE CROSS RI NUMBER |
| 4400009 | Other | RI | UNITED HEALTH NUMBER |
| GC51470 | Medicaid | RI | |
| 2142223 | Other | RI | FIRST HEALTH |
| 410755 | Other | RI | BLUECHIP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | MD10970 (Rhode Island) | Primary |
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