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Organization

ADVANCED NEUROLOGICAL CARE P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KERIN BELLER HAUSKNECHT M.D. (OWNER/DOCTOR)
(516) 374-4451
Entity
Organization

Contact information

Practice address
23 LANGDON PL, LYNBROOK, NY 11563-2414
(516) 374-4451
Mailing address
PO BOX 209, HEWLETT, NY 11557-0209
(516) 374-4451
(516) 374-1987

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
202181
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01895638
NY
Enumeration date
09/27/2007
Last updated
04/18/2012
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