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Contact Information

CENTRAL QUEENS NEUROLOGY, PLLC
9801 67TH AVE
APT. 6C
REGO PARK, NY11374-4967
 Phone: 917-952-2464
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for CENTRAL QUEENS NEUROLOGY PLLC · (Female)

NPI # 1568758621
Status Active
Credentials
Entity Individual
Enumeration date 06/27/2011
Last updated 06/16/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 194262
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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