Organization
DENT NEUROLOGIC GROUP, LLP
Active
Other names
Dent Neurologic Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH SABA (BUSINESS OFFICE MANAGER)
(716) 558-5668
Entity
Organization
Contact information
Practice address
7060 ERIE RD, DERBY, NY 14047-9430
(716) 250-2000
Mailing address
3980 SHERIDAN DR, SUITE B, AMHERST, NY 14226-1727
(716) 250-2000
(716) 250-2040
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
2084N0400X
Neurology Physician
Primary
—
—
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03010331
—
NY
Enumeration date
04/09/2010
Last updated
04/09/2010
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