Organization
PARADIGM NEUROLOGICAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES H BAGLEY MD (OWNER)
(718) 229-4868
Entity
Organization
Contact information
Practice address
21814 NORTHERN BLVD, SUITE 101, BAYSIDE, NY 11361-3581
(718) 229-4868
Mailing address
21814 NORTHERN BLVD, SUITE 101, BAYSIDE, NY 11361-3581
(718) 229-4868
Taxonomy
Speciality
Code
Description
License number
State
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
Primary
132024
NY
Other
Enumeration date
06/04/2012
Last updated
06/04/2012
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