MODERN NEUROLOGY, P.C. (NPI# 1720200322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720200322 |
| Entity Type | Organization |
| Organization Name | MODERN NEUROLOGY, P.C. |
| Practice Address |
1010 Northern Boulevard Suite 208 Great Neck NY 11021 |
| Practice Telephone | 5163657104 |
| Practice Fax Number | 7183660011 |
| Mailing Telephone | 5163657104 |
| Mailing Fax Number | 7183660011 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SAMIR HADDAD (PRINCIPAL) |
| Authorized Official Telephone | 5163657104 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 220993-1 | NY | Other Service Providers |
| Street Address |
1010 NORTHERN BOULEVARD SUITE 208 |
| City | GREAT NECK |
| State | NY |
| Zip Code | 11021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942243654 | North Shore Cardiology & Internal Medicine Associates PC | Internal Medicine | 1010 Northern Boulevard, Great Neck, NY 11021 | 2006-06-13 |
| 1619353489 | Apex Therapeutic Services, LLC | Supports Brokerage | 1010 Northern Boulevard, Suite 208, Great Neck, NY 11021 | 2015-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097927 | Vital Balance Osteopathy, Pllc | Psychiatry & Neurology | 10 Bond Street, Ste 1, #290, Great Neck, NY 11021 | 2020-09-14 |
| 1770131922 | Bond Orthodontics & Dental Care Pllc | Dentist | 12 Bond Street., Suite#c4, Great Neck, NY 11021 | 2019-08-30 |
| 1295393858 | Ctrip.nyc, Inc. | Emergency Response System Companies | 3 Grace Ave, Suite 106, Great Neck, NY 11021 | 2019-05-30 |
| 1366929267 | Vishva Vajra Acupuncture PC | Acupuncturist | 23a Middle Neck Road, Great Neck, NY 11021 | 2018-07-24 |
| 1518457530 | Assured Quality Home Care, Inc. | In Home Supportive Care | 885 Northern Blvd., Greak Neck, NY 11021 | 2018-05-15 |
| 1881183275 | Liat Mindy Brody | Occupational Therapist | 7 Hickory Dr, Great Neck, NY 11021 | 2018-05-01 |
| 1457853707 | Allison Squillace | Social Worker | 7 Bond Suite 1a, Great Neck, NY 11021 | 2018-03-02 |
| 1275042855 | Seolhee Kang | Acupuncturist | 26 Linden Street, Apt 4c, Great Neck, NY 11021 | 2017-09-26 |
| 1346781598 | Sara Dreiblatt | Speech-Language Pathologist | 211-45 46th Road, Queens, NY 11021 | 2017-03-20 |
| 1962853416 | Darron Yelling Do, PC | Surgery | 305 Northen Blvd, 105, Great Neck, NY 11021 | 2016-06-27 |
| Find all providers in zip 11021 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326519083 | Nelida Barrera | Specialist | 9 Northern Blvd, Great Neck, NY 11021-4044 | 2018-12-06 |
| 1558831859 | Wen-ling Lee | Specialist | 1 E Mill Dr Apt 2a, Great Neck, NY 11021-4077 | 2018-11-29 |
| 1386110864 | Rebecca Abigail Soleimani | Specialist | 19 N Clover Dr, Great Neck, NY 11021-1013 | 2018-10-22 |
| 1285114827 | Joshua Hakimian | Specialist | 20 Hicks Ln, Great Neck, NY 11024-1937 | 2018-08-14 |
| 1982191144 | Milko Aminian | Specialist | 11 Woodbourne Rd, Great Neck, NY 11023-1318 | 2018-04-13 |
| 1104367176 | Jessica Lin | Specialist | 4515 Westminster Rd, Great Neck, NY 11020-1050 | 2017-03-10 |
| 1326582610 | Firoozeh Bandanzadeh | Specialist | 45 Ellard Ave, Great Neck, NY 11024-2036 | 2016-12-06 |
| 1851834451 | Allison Unger | Specialist | 14 Stoner Ave, Apartment 3j, Great Neck, NY 11021-2101 | 2016-11-30 |
| 1386190940 | Deborah Namdar | Specialist | 101 Hampshire Rd, Great Neck, NY 11023-1230 | 2016-09-01 |
| 1881064434 | Esther Lebto | Specialist | 10 Devon Rd, Great Neck, NY 11023-2317 | 2015-09-25 |
| Find all providers in GREAT NECK | ||||
| City | GREAT NECK |
| Zip Code | 11021 |
Please comment or provide details below to improve the information on MODERN NEUROLOGY, P.C..
| 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.