| NPI | 1487192233 |
|---|---|
| Former Legal Business Name | GREAT NECK NEUROLOGICAL SURGERY P.C. |
| Entity Type | Organization |
| Authorized Contact | ZORINA RENEE THOMAS-JACKSON Director Of Operations 516-442-3461 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NY 278637) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: NY 254993) |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-02-01 |