Organization
PRONEURODIAGNOSTICS
Active
Other names
ProDiagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALI RODRIGUEZ (OWNER)
(516) 353-1735
Entity
Organization
Contact information
Practice address
37 NORTHERN BLVD UNIT 366, GREENVALE, NY 11548-4015
(516) 353-1735
Mailing address
37 NORTHERN BLVD UNIT 366, GREENVALE, NY 11548-4015
(516) 353-1735
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
—
—
2084D0003X
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
246ZE0500X
EEG Specialist/Technologist
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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