Organization
NEUROLOGICAL ASSOCIATES OF LONG ISLAND, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERIKA L KORETZ (OFFICE ADMINISTRATOR)
(516) 466-4700
Entity
Organization
Contact information
Practice address
1991 MARCUS AVENUE, SUITE 110, LAKE SUCCESS, NY 11042-2057
(516) 466-4700
(516) 466-4810
Mailing address
1991 MARCUS AVENUE, SUITE 110, LAKE SUCCESS, NY 11042-2057
(516) 466-4700
(516) 466-4810
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41996
AETNA INS
NY
Enumeration date
06/17/2006
Last updated
02/21/2024
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