Provider Demographics
NPI:1396187670
Name:UNITED NEURO DIAGNOSTICS LLC
Entity Type:Organization
Organization Name:UNITED NEURO DIAGNOSTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:FALGOUST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-873-6500
Mailing Address - Street 1:50 ROSE PL
Mailing Address - Street 2:SUITEB
Mailing Address - City:GARDEN CITY PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-5312
Mailing Address - Country:US
Mailing Address - Phone:516-873-6500
Mailing Address - Fax:516-873-6501
Practice Address - Street 1:50 ROSE PL
Practice Address - Street 2:SUITE B
Practice Address - City:GARDEN CITY PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-5312
Practice Address - Country:US
Practice Address - Phone:516-873-6500
Practice Address - Fax:516-873-6501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-26
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center