Organization
NEW YORK MEDICAL MONITORING PC
Active
Parent organization
NEW YORK MEDICAL MONITORING PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW YORK MEDICAL MONITORING PC
Authorized official
ALEXANDRE B DE MOURA MD (CEO)
(516) 357-8777
Entity
Organization
Contact information
Practice address
761 MERRICK AVE, WESTBURY, NY 11590-6608
(516) 357-8777
(516) 222-0749
Mailing address
761 MERRICK AVE, WESTBURY, NY 11590-6608
(516) 357-8777
(516) 222-0749
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
09/30/2020
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