Provider Demographics
NPI:1801417126
Name:CAPITAL NEUROLOGY
Entity Type:Organization
Organization Name:CAPITAL NEUROLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VALENTYNA
Authorized Official - Middle Name:
Authorized Official - Last Name:HONCHAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:347-365-0823
Mailing Address - Street 1:80 CAROUSEL CIR
Mailing Address - Street 2:
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-3604
Mailing Address - Country:US
Mailing Address - Phone:347-365-0823
Mailing Address - Fax:
Practice Address - Street 1:4250 CRUMS MILL RD STE 102
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-2889
Practice Address - Country:US
Practice Address - Phone:347-365-0823
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-27
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical NeurophysiologyGroup - Single Specialty