AUTONOMIC NEUROLOGY, PLLC


Address: 2 Charlton St, 15b, New York, NY 10014-4909
Phone: 3476355247

AUTONOMIC NEUROLOGY, PLLC (NPI# 1538331749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538331749
Entity Type Organization
Organization Name AUTONOMIC NEUROLOGY, PLLC
Practice Address 2 Charlton St
15b
New York
NY 10014-4909
Practice Telephone 3476355247
Practice Fax Number 2126711466
Mailing Telephone 3476355247
Mailing Fax Number 2126711466
Enumeration Date 2008-03-27
Last Update Date 2014-05-05
Authorized Official Name DR. LINDSEY LEE LAIR (OWNER/PHYSICIAN)
Authorized Official Telephone 3476355247
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0600X Psychiatry & Neurology
Specialization: Clinical Neurophysiology
229337 NY Allopathic & Osteopathic Physicians

Office Location

Street Address 2 CHARLTON ST
15B
City NEW YORK
State NY
Zip Code 10014-4909

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Taxonomy Information

Taxonomy Code 2084N0600X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Clinical Neurophysiology

Taxonomy Definition

Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

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City NEW YORK
Zip Code 10014

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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