| Pediatric Neurology Associates, Pc | |
|
755 North Broadway Ste. 540 Sleepy Hollow NY 10591 | |
| (866) 289-4595 | |
| Not Available |
| Full Name | Pediatric Neurology Associates, Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
| Location | 755 North Broadway, Sleepy Hollow, New York |
| Authorized Official Name and Position | Ronald I Jacobson (MD) |
| Authorized Official Contact | 9143580188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Neurology Associates, Pc 755 North Broadway Ste. 540 Sleepy Hollow NY 10591 Ph: (866) 289-4595 | Pediatric Neurology Associates, Pc 755 North Broadway Ste. 540 Sleepy Hollow NY 10591 Ph: (866) 289-4595 |
| NPI Number | 1588861959 |
|---|---|
| Provider Enumeration Date | 06/29/2007 |
| Last Update Date | 04/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588861959 | NPI | - | NPPES |
| 00608975 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | 157834 (New York) | Primary |
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