Organization
A SHATLA NEUROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AHMED ABDELHADY SHATLA MD (DOCTOR OWNER)
(315) 266-2078
Entity
Organization
Contact information
Practice address
210 OLD CAMPION RD, NEW HARTFORD, NY 13413
(315) 266-2078
(315) 735-3910
Mailing address
210 OLD CAMPION RD, NEW HARTFORD, NY 13413
(315) 266-2078
(315) 735-3910
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
214256
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02155131
—
NY
Enumeration date
12/08/2006
Last updated
06/01/2011
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