Organization
FIFTH AVENUE NEUROLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAUDE MACALUSO M.D. (PRESIDENT)
(212) 675-3878
Entity
Organization
Contact information
Practice address
80 5TH AVE, SUITE 1605, NEW YORK, NY 10011-8002
(212) 675-3878
(212) 647-1931
Mailing address
80 5TH AVE, SUITE 1605, NEW YORK, NY 10011-8002
(212) 675-3878
(212) 647-1931
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
163336
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01075314
—
NY
01
—
163336
MEDICAL LICENSE
NY
01
—
25MA05038400
MEDICAL LICENSE
NJ
01
—
2890688
AETNA
—
01
—
4C1909
HEALTHNET
—
01
—
P2666998
OXFORD
—
01
—
WEF431
MEDICARE
—
Enumeration date
03/29/2008
Last updated
03/29/2008
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