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Organization
THROGGS NECK NEUROLOGICAL DIAGNOSIS PC
Active
Organization
THROGGS NECK NEUROLOGICAL DIAGNOSIS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVA LOUDAROS (BILLING MANAGER)
(718) 204-0414
Entity
Organization
Contact information
Practice address
3146 E TREMONT AVE, BRONX, NY 10461-5706
(718) 409-3433
(718) 933-5321
Mailing address
3146 E TREMONT AVE, BRONX, NY 10461-5706
(718) 409-3433
(718) 933-5321
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00464888
—
NY
Enumeration date
03/07/2007
Last updated
10/12/2012
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