Organization
LAKE SUCCESS NEUROLOGICAL SURGERY PC
Active
Other names
Intra-Operative Monitoring Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL H BRISMAN M.D. (CEO)
(516) 255-9031
Entity
Organization
Contact information
Practice address
1991 MARCUS AVE, SUITE 108, NEW HYDE PARK, NY 11042-2057
(516) 442-2250
(516) 442-1897
Mailing address
1991 MARCUS AVE, SUITE 108, NEW HYDE PARK, NY 11042-2057
(516) 442-2250
(516) 442-1897
Taxonomy
Speciality
Code
Description
License number
State
246ZE0500X
EEG Specialist/Technologist
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
01/13/2010
Last updated
01/13/2010
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