Provider Demographics
NPI:1831754191
Name:NEUROLOGICAL SPECIALTIES DRUG CORPORATION
Entity type:Organization
Organization Name:NEUROLOGICAL SPECIALTIES DRUG CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PHARMACY
Authorized Official - Prefix:
Authorized Official - First Name:WESTLEIGH
Authorized Official - Middle Name:
Authorized Official - Last Name:NIRENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:516-416-4600
Mailing Address - Street 1:170 GREAT NECK RD
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-3357
Mailing Address - Country:US
Mailing Address - Phone:516-416-4600
Mailing Address - Fax:516-416-4700
Practice Address - Street 1:170 GREAT NECK RD
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-3357
Practice Address - Country:US
Practice Address - Phone:516-416-4600
Practice Address - Fax:516-416-4700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-02
Last Update Date:2019-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy