Organization
LONG ISLAND NEUROLOGICAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR MANUEL MACIAS (GENERAL MANAGER)
(757) 240-7848
Entity
Organization
Contact information
Practice address
10119 39TH AVE, SUITE # 101, CORONA, NY 11368-4806
(347) 808-8324
(347) 808-8326
Mailing address
10119 39TH AVE, SUITE # 101, CORONA, NY 11368-4806
(347) 808-8324
(347) 808-8326
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
220993
NY
225100000X
Physical Therapist
025085
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220993
LICENSE NUMBER
NY
Enumeration date
12/28/2011
Last updated
12/28/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us