Provider Demographics
NPI:1487681441
Name:NEUROLOGY GROUP, PLLC
Entity Type:Organization
Organization Name:NEUROLOGY GROUP, PLLC
Other - Org Name:VLADIMIR ZLATNIK,M.D., PC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VLADIMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:ZLATNIK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-232-1022
Mailing Address - Street 1:99-52 66 ROAD
Mailing Address - Street 2:LOBBY C
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374
Mailing Address - Country:US
Mailing Address - Phone:718-459-2848
Mailing Address - Fax:718-459-2854
Practice Address - Street 1:9952 66TH RD
Practice Address - Street 2:LOBBY C
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-4461
Practice Address - Country:US
Practice Address - Phone:718-459-2848
Practice Address - Fax:718-459-2854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-27
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1973712084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1336185313OtherNPI-1336185313
NYF99593Medicare UPIN
NY1336185313OtherNPI-1336185313