Modern Neurology, P.c.
NPI #1720200322 in Great Neck, New York
Provider Information
- NPI Number
- 1720200322
- Entity Type
- Organization
- Organization Name
- Modern Neurology, P.c.
- Primary Specialty
- Specialist
- Enumeration Date
- May 3, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1010 NORTHERN BOULEVARD
- Address 2
- SUITE 208
- City
- Great Neck
- State
- New York
- ZIP Code
- 11021
- Phone
- (516) 365-7104
Authorized Official
- Name
- DR. SAMIR HADDAD, M.D.
- Title
- PRINCIPAL
- Phone
- (516) 365-7104
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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