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Organization
NY ADVANCED NEUROLOGY PC
Active
Organization
NY ADVANCED NEUROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DORA S PINKHASOVA MD (PRESIDENT)
(718) 261-9100
Entity
Organization
Contact information
Practice address
9815 63 RD. APT. 4E, REGO PARK, NY 11374-3506
(718) 261-9100
(718) 997-0238
Mailing address
9815 63 RD. APT. 4E, REGO PARK, NY 11374-3506
(718) 261-9100
(718) 997-0238
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
230588
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
230588
LICENSE
NY
Enumeration date
02/22/2011
Last updated
02/22/2011
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