Organization
METROPOLITAN PEDIATRIC NEUROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELISA PRESS (OFFICE MGR)
(516) 829-3100
Entity
Organization
Contact information
Practice address
1000 NORTHERN BLVD, SUITE 240, GREAT NECK, NY 11021-5312
(516) 829-3100
Mailing address
1000 NORTHERN BLVD, SUITE 240, GREAT NECK, NY 11021-5312
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00845881
—
NY
Enumeration date
03/16/2007
Last updated
10/22/2007
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