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Contact Information

GARDEN CITY NEUROLOGY, LTD
900 RESERVOIR AVE
CRANSTON, RI02910-4417
 Phone: 401-714-0222
 Fax: 401-714-0220
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for GARDEN CITY NEUROLOGY, LTD

NPI Number 1639207319
LBN Legal business name GARDEN CITY NEUROLOGY, LTD
Authorized official RICHARD CERVONE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/02/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
RI License # MD10970
RI Medicaid GC51470
RI Other 26655-2 BLUE CROSS RI NUMBER
RI Other 410755 BLUECHIP NUMBER
RI Other 2142223 FIRST HEALTH
RI Other 4400009 UNITED HEALTH NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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