Organization
NASSAU SPINE TECHNICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ARIEL LEACH (BILLER)
(516) 743-9450
Entity
Organization
Contact information
Practice address
2594 8TH AVE, EAST MEADOW, NY 11554-3253
(516) 743-9450
(516) 743-9451
Mailing address
2594 8TH AVE, EAST MEADOW, NY 11554-3253
(516) 743-9450
(516) 743-9451
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03918421
—
NY
Enumeration date
06/24/2019
Last updated
12/17/2019
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