Organization
MILLER PLACE NEUROLOGY AND SLEEP SPECIALTY PC
Active
Other names
Complete Sleep Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAHID RASHIDZADA MD (OWNER/PRESIDENT)
(631) 238-8271
Entity
Organization
Contact information
Practice address
595 ROUTE 25A STE 2, MILLER PLACE, NY 11764-2648
(631) 238-8271
(631) 532-1908
Mailing address
595 ROUTE 25A STE 2, MILLER PLACE, NY 11764-2648
(631) 238-8271
(631) 532-1908
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200613180A
—
KS
Enumeration date
06/04/2019
Last updated
06/04/2019
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