| Hudson Neurology And Neurophysiology Pc | |
|
245 N Broadway Ste 102 Sleepy Hollow NY 10591-2657 | |
| (914) 631-6888 | |
| (914) 631-2700 |
| Full Name | Hudson Neurology And Neurophysiology Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 245 N Broadway Ste 102, Sleepy Hollow, New York |
| Authorized Official Name and Position | Dorothea Kelligrew (MEDICAL BILLING MANAGER) |
| Authorized Official Contact | 9146313640 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hudson Neurology And Neurophysiology Pc 245 N Broadway Ste 102 Sleepy Hollow NY 10591-2657 Ph: (914) 631-6888 | Hudson Neurology And Neurophysiology Pc 245 N Broadway Ste 102 Sleepy Hollow NY 10591-2657 Ph: (914) 631-6888 |
| NPI Number | 1033124821 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 04/01/2009 |
| Medicare PECOS PAC ID | 5193880391 |
|---|---|
| Medicare Enrollment ID | O20090224000077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033124821 | NPI | - | NPPES |
| 2C6986 | Other | NY | HEALTHNET |
| P1045613 | Other | NY | OXFORD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 205230 (New York) | Primary |
| Provider Name | Sanda Carniciu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578543237 PECOS PAC ID: 0749345940 Enrollment ID: I20090224000072 |
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