Organization
WINTHROP FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP
Active
Other names
Winthrop Child Neurology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D AMMAZZALORSO (CO-PRESIDENT)
(516) 663-8209
Entity
Organization
Contact information
Practice address
173 MINEOLA BLVD, SUITE 101, MINEOLA, NY 11501-2528
(516) 663-9494
(516) 663-2835
Mailing address
700 HICKSVILLE RD, SUITE 204, BETHPAGE, NY 11714-3471
(516) 576-5715
(516) 576-5801
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
—
—
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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