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Organization

NSPC PLASTICS

Active
Parent organization
NEUROLOGICAL SURGERY P.C.
Other names
Great Neck Neurological Surgery P.C.
Organization subpart
Yes

Provider details

NPI number
Legal business name
NEUROLOGICAL SURGERY P.C.
Authorized official
MS. ZORINA RENEE THOMAS-JACKSON CPC,CPC-I (DIRECTOR OF OPERATIONS)
(516) 442-3461
Entity
Organization

Contact information

Practice address
100 MERRICK RD, SUITE 128 W, ROCKVILLE CENTRE, NY 11570-4800
(516) 442-3461
(516) 442-3462
Mailing address
100 MERRICK RD, SUITE 128 W, ROCKVILLE CENTRE, NY 11570-4800
(516) 442-3461
(516) 442-3462

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
254993
NY
208200000X
Plastic Surgery Physician
Primary
278637
NY

Other

Enumeration date
02/01/2017
Last updated
02/01/2017
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