Organization
AVISHAI T. NEUMAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MONTE BANASH (HR)
(718) 550-8600
Entity
Organization
Contact information
Practice address
811 WILSON ST, VALLEY STREAM, NY 11581-3527
(718) 550-8600
Mailing address
811 WILSON ST, VALLEY STREAM, NY 11581-3527
(718) 550-8600
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
02/27/2017
Last updated
05/08/2024
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