# PARADIGM NEUROLOGICAL SERVICES, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881955086
- **Authorized official:** CHARLES H BAGLEY MD (OWNER)
- **Authorized official phone:** (718) 229-4868

## Contact information

- **Practice address:** 21814 NORTHERN BLVD, SUITE 101, BAYSIDE, NY 11361-3581
- **Practice address phone:** (718) 229-4868
- **Mailing address:** 21814 NORTHERN BLVD, SUITE 101, BAYSIDE, NY 11361-3581
- **Mailing address phone:** (718) 229-4868

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P2900X | Pain Medicine (Psychiatry & Neurology) Physician | 132024 | NY | Yes |

## Other

- **Enumeration date:** 06/04/2012
- **Last updated:** 06/04/2012