Provider Demographics
NPI:1942208764
Name:NEUROLOGY ASSOCIATES INC.
Entity Type:Organization
Organization Name:NEUROLOGY ASSOCIATES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GINA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:FACTORA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-523-5885
Mailing Address - Street 1:321 N KUAKINI ST
Mailing Address - Street 2:STE 810 & STE 605
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-2364
Mailing Address - Country:US
Mailing Address - Phone:808-523-5885
Mailing Address - Fax:808-538-6595
Practice Address - Street 1:321 N KUAKINI ST
Practice Address - Street 2:STE 810 & STE 605
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-2364
Practice Address - Country:US
Practice Address - Phone:808-523-5885
Practice Address - Fax:808-538-6595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HNAIMedicare PIN