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United Ionm PC

Specialist/Technologist, Other, Electroneurodiagnostic in Garden City Park, NY. Organization (NPI-2).

NPI number1427508696
StatusActive
Last updated in NPPESOct 11, 2016

Details

NPI
1427508696
Entity type
Organization (NPI-2)
Legal business name
United Ionm PC
Organization subpart
No
Enumeration date
Oct 11, 2016
Last updated
Oct 11, 2016

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic––Yes

Practice location

50 Rose Pl
Garden City Park, NY 11040-5312

Phone 516-404-7717

Mailing address

50 Rose Pl
Garden City Park, NY 11040-5312

Phone 516-404-7717

Authorized official

Glen Gremillion
Vice President
5164047717

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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