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Organization

NEUROLINK DIAGNOSTIC AND MANAGEMENT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NESTOR NICOLAIDES (PROVIDER)
(631) 602-7073
Entity
Organization

Contact information

Practice address
30 S OCEAN AVE RM 103, FREEPORT, NY 11520-3550
(631) 602-7073
Mailing address
PO BOX 33, GLEN HEAD, NY 11545-0033
(631) 602-7073

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary

Other

Enumeration date
12/21/2020
Last updated
12/21/2020
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