Organization · NPI-2
Nassau Suffolk Neurology, PC
Psychiatry & Neurology, Neurology · Babylon, NY
NPI number1801196456
StatusActive
Last updated in NPPESMar 21, 2024
Details
- NPI
- 1801196456
- Entity type
- Organization (NPI-2)
- Legal business name
- Nassau Suffolk Neurology, PC
- Organization subpart
- No
- Enumeration date
- Oct 29, 2010
- Certification date
- Mar 21, 2024
- Last updated
- Mar 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | 175848-1 | NY | Yes |
Practice location
400 W Main St Ste 100Babylon, NY 11702-3009
Phone 631-422-8822 · Fax 631-422-0798
Mailing address
400 W Main St Ste 100Babylon, NY 11702-3009
Phone 631-422-8822 · Fax 631-422-0798
Authorized official
Anthony F Adamo
President
6314228822
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