Individual
DENMARK MUGUTSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS. CNIM
Contact information
Practice address
1991 MARCUS AVE, SUITE 108 / NEUROPHYSIOLOGY, NEW HYDE PARK, NY 11042-2057
(804) 868-8011
(516) 442-1897
Mailing address
1991 MARCUS AVE, SUITE 108 / NEUROPHYSIOLOGY, NEW HYDE PARK, NY 11042-2057
(804) 868-8011
(516) 442-1897
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
916
GA
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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