Provider Demographics
NPI:1518646892
Name:NY NEUROMUSCULAR HEALTHCARE, P.C.
Entity Type:Organization
Organization Name:NY NEUROMUSCULAR HEALTHCARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:MOHAMED ATTIA
Authorized Official - Last Name:ELDOKLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:607-778-9991
Mailing Address - Street 1:8349 PRESERVE PKWY
Mailing Address - Street 2:
Mailing Address - City:MANLIUS
Mailing Address - State:NY
Mailing Address - Zip Code:13104-8350
Mailing Address - Country:US
Mailing Address - Phone:607-778-9991
Mailing Address - Fax:
Practice Address - Street 1:5 KENNEDY PKWY
Practice Address - Street 2:
Practice Address - City:CORTLAND
Practice Address - State:NY
Practice Address - Zip Code:13045-1409
Practice Address - Country:US
Practice Address - Phone:607-299-4377
Practice Address - Fax:607-299-4378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-14
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center