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Organization

LIBERTY NERVE WATCH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GREG NORDIN CNIM (MANAGING PARTNER)
(631) 655-4255
Entity
Organization

Contact information

Practice address
85 STRATFORD RD, ROCKVILLE CENTRE, NY 11570-2147
(631) 655-4255
Mailing address
85 STRATFORD RD, ROCKVILLE CENTRE, NY 11570-2147

Taxonomy

Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary

Other

Enumeration date
08/01/2025
Last updated
08/01/2025
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