| A S Neurology Pc | |
|
210 Old Campion Rd New Hartford NY 13413-1641 | |
| (315) 266-2078 | |
| Not Available |
| Full Name | A S Neurology Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 210 Old Campion Rd, New Hartford, New York |
| Authorized Official Name and Position | Ahmed A Shatla (OWNER) |
| Authorized Official Contact | 3152662078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A S Neurology Pc 210 Old Campion Rd New Hartford NY 13413-1641 Ph: (315) 266-2078 | A S Neurology Pc 210 Old Campion Rd New Hartford NY 13413-1641 Ph: (315) 266-2078 |
| NPI Number | 1598028052 |
|---|---|
| Provider Enumeration Date | 06/20/2012 |
| Last Update Date | 06/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598028052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 214256 (New York) | Primary |
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