ITZHAK C HAIMOVIC


Address: 170 Great Neck Road, Great Neck, NY 11021
Phone: 5164874464

ITZHAK C HAIMOVIC (NPI# 1629075767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629075767
Entity Type Individual
Full Name ITZHAK C HAIMOVIC
Credential M.D.
Practice Address 170 Great Neck Road
Great Neck
NY 11021
Practice Telephone 5164874464
Practice Fax Number 5164874950
Mailing Telephone 5164874464
Mailing Fax Number 5164874950
Enumeration Date 2005-07-05
Last Update Date 2008-04-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0600X Psychiatry & Neurology
Specialization: Clinical Neurophysiology
129650 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 01008626 05

Office Location

Street Address 170 GREAT NECK ROAD
City GREAT NECK
State NY
Zip Code 11021

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Taxonomy Information

Taxonomy Code 2084N0600X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Clinical Neurophysiology

Taxonomy Definition

Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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Competitor

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City GREAT NECK
Zip Code 11021

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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