| NPI | 1831498518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN WILLIAM SILVERSTEIN Clinical Neurophysiologist 631-617-6011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic (Licence: NY 1184) |
| Additional Taxonomies | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic (Licence: NY 659) |
| 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic (Licence: NY 200) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2015-04-23 |