| Ny Neurological Consultant, Pc | |
|
350 Fort Washington Ave New York NY 10033 | |
| (212) 927-3327 | |
| (212) 927-3307 |
| Full Name | Ny Neurological Consultant, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 350 Fort Washington Ave, New York, New York |
| Authorized Official Name and Position | Casilda Balmaceda (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2129273327 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ny Neurological Consultant, Pc 350 Fort Washington Ave New York NY 10033-6846 Ph: (212) 927-3327 | Ny Neurological Consultant, Pc 350 Fort Washington Ave New York NY 10033 Ph: (212) 927-3327 |
| NPI Number | 1053629477 |
|---|---|
| Provider Enumeration Date | 09/20/2010 |
| Last Update Date | 07/03/2018 |
| Medicare PECOS PAC ID | 5991992760 |
|---|---|
| Medicare Enrollment ID | O20101206000500 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053629477 | NPI | - | NPPES |
| 01830579 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 186529 (New York) | Primary |
| Provider Name | Casilda M Balmaceda |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093751919 PECOS PAC ID: 6800927757 Enrollment ID: I20100622000253 |
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