| Neurorehabilitation And Neuropsycholical Services P.c. | |
|
1035 Park Blvd Suite 2b Massapequa Park NY 11762-2743 | |
| (516) 799-8599 | |
| Not Available |
| Full Name | Neurorehabilitation And Neuropsycholical Services P.c. |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1035 Park Blvd, Massapequa Park, New York |
| Authorized Official Name and Position | Robert Alan Coben (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5167998599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurorehabilitation And Neuropsycholical Services P.c. 1035 Park Blvd Suite 2b Massapequa Park NY 11762-2743 Ph: (516) 799-8599 | Neurorehabilitation And Neuropsycholical Services P.c. 1035 Park Blvd Suite 2b Massapequa Park NY 11762-2743 Ph: (516) 799-8599 |
| NPI Number | 1891020947 |
|---|---|
| Provider Enumeration Date | 10/07/2009 |
| Last Update Date | 10/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891020947 | NPI | - | NPPES |
| 01733191 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 012160-1 (New York) | Primary |
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