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Organization
PELHAM PKWAY NEUROLOGY AND DIAGNOSTIC, PC
Active
Organization
PELHAM PKWAY NEUROLOGY AND DIAGNOSTIC, PC
Active
Other names
broadway medical care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SYED M JALAL M.D. (OWNER)
(516) 620-4246
Entity
Organization
Contact information
Practice address
41-14 JUDGE STREET, ELMHURST, NY 11373-2344
(516) 620-4246
(516) 620-6807
Mailing address
4114 JUDGE ST, ELMHURST, NY 11373-2344
(516) 620-4246
(516) 620-6807
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
206287
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01872788
—
NY
Enumeration date
02/19/2009
Last updated
02/19/2009
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