Provider Demographics
NPI:1366494429
Name:NEUROLOGY AND NEUROSCIENCE ASSOCIATES, INC.
Entity Type:Organization
Organization Name:NEUROLOGY AND NEUROSCIENCE ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:M
Authorized Official - Last Name:SALTIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-376-1902
Mailing Address - Street 1:PO BOX 92168
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44191-2168
Mailing Address - Country:US
Mailing Address - Phone:888-328-4472
Mailing Address - Fax:330-493-7123
Practice Address - Street 1:1 PARK WEST BLVD
Practice Address - Street 2:SUITE 370
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44320-4218
Practice Address - Country:US
Practice Address - Phone:330-376-1902
Practice Address - Fax:330-376-1599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHCF1561OtherRAILROAD MEDICARE
OH0480073Medicaid
OHCF1561OtherRAILROAD MEDICARE