Individual
DR. SIMONA VASILICA PROTEASA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
611 NORTHERN BLVD STE 150, GREAT NECK, NY 11021-5207
(516) 325-7000
(516) 325-7001
Mailing address
611 NORTHERN BLVD STE 150, GREAT NECK, NY 11021-5207
(516) 325-7000
(516) 325-7001
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
270252
NY
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
12347
NY
2084N0600X
Clinical Neurophysiology Physician
Primary
1063
NY
Other
Enumeration date
06/20/2011
Last updated
06/07/2020
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